go back

Alaska rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Facilitymedian $2,512 · 10th–90th $1,585–$10,7150%10%10th90th$2,512Professionalmedian $2,138 · 10th–90th $1,514–$7,2440%10%20%10th90th$2,138$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,511.89 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,344.23 / $8,317.64
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,370.32 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,290.87 / $8,317.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,238.72 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,168.69 / $9,549.93