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Georgia rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Facilitymedian $5,623 · 10th–90th $2,188–$12,0230%5%10%10th90th$5,623Professionalmedian $1,950 · 10th–90th $1,445–$3,3110%10%10th90th$1,950$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,089.30 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,819.70 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,309.57 / $23,442.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,570.40 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,570.40 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,511.89 / $3,388.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $2,951.21 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $3,801.89