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Delaware rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.99 / $1,613.29 / $1,613.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.44 / $1,600.76 / $3,075.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.84 / $1,591.15 / $3,782.35