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Florida rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.35 / $3,401.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.35 / $1,554.18 / $2,168.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.68 / $2,217.78 / $3,510.78
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.47 / $1,524.77 / $1,962.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $1,407.30 / $2,315.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $5,575.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.02 / $1,749.60 / $3,288.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.81 / $1,309.81 / $1,431.26