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Pennsylvania rates for HCPCS 63709

Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,754.40 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,265.80 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,290.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83