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Arkansas rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Facilitymedian $1,862 · 10th–90th $1,072–$2,5120%20%10th90th$1,862Professionalmedian $1,820 · 10th–90th $1,445–$2,3990%10%20%10th90th$1,820$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,862.09 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,778.28 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,137.96 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,230.27 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,862.09 / $3,162.28