go back

Nebraska rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.01 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.01 / $1,431.01 / $8,335.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.72 / $2,368.82 / $3,158.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.00 / $3,444.03 / $4,591.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.01 / $2,504.27 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.39 / $3,123.11 / $4,300.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.66 / $3,527.40 / $4,960.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.09 / $3,166.56 / $4,591.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.39 / $3,196.88 / $3,704.16