go back

Alabama rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,566.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.33 / $1,554.18 / $2,566.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,195.78 / $7,518.88 / $10,115.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.26 / $1,962.00 / $2,515.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.62 / $2,078.09 / $5,485.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.52 / $1,568.30 / $2,744.53