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Nebraska rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,548.13 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,511.89 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,630.78 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $3,801.89