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North Carolina rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,290.87 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,090.30 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $3,890.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,235.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $3,162.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $16,982.44 / $16,982.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $15,135.61