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Minnesota rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Facilitymedian $3,631 · 10th–90th $525–$11,2200%5%10th90th$3,631Professionalmedian $3,631 · 10th–90th $1,622–$6,1660%10%10th90th$3,631$50.0$200.0$1.0K$5.0K$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
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,737.80 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $891.25 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,265.80 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,623.41 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,570.88 / $6,918.31
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,495.41 / $10,715.19
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,511.89 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,884.03 / $8,511.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,019.95 / $6,025.60