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New Mexico rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Facilitymedian $2,630 · 10th–90th $1,660–$7,7620%20%10th90th$2,630Professionalmedian $1,820 · 10th–90th $1,445–$2,9510%20%10th90th$1,820$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,754.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,737.80 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,238.72 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,089.30 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,570.88 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,290.87 / $3,388.44