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North Carolina rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.69 / $1,619.50 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.50 / $1,702.38 / $3,012.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.84 / $3,066.80 / $3,674.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.34 / $2,250.41 / $3,926.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.50 / $1,908.44 / $3,056.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.00 / $1,833.00 / $2,130.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $2,189.60 / $4,332.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.00 / $3,994.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.20 / $1,996.45 / $3,958.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $17,036.37 / $17,036.37
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,647.36 / $11,647.36 / $15,060.08