go back

Mississippi rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.00 / $1,489.47 / $3,906.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.43 / $1,520.03 / $4,757.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.00 / $2,633.00 / $2,633.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.93 / $2,358.36 / $3,226.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,236.00 / $5,253.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.01 / $2,068.80 / $4,083.13