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Virginia 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
$1,246.85 / $5,282.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $9,527.62 / $13,270.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,271.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.54 / $1,367.23 / $1,615.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.30 / $1,467.13 / $2,281.75
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$169.68 / $275.48 / $456.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.14 / $1,394.36 / $2,639.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,959.00 / $5,226.00