go back

Kentucky rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,629.40 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.74 / $1,531.86 / $1,819.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,990.10 / $30,856.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.78 / $1,470.18 / $2,147.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.05 / $2,177.38 / $2,511.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.31 / $2,099.61 / $3,110.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.67 / $1,911.67 / $2,013.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.85 / $2,130.61 / $3,014.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,021.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.88 / $2,008.95 / $2,844.56