CPT 63704
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Repair Myelomeningocele </5 Cm Diameter
Low
$1.0k
Average
$3.0k
Median
$2.3k
High
$13.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 209 | $3.1k | $4.8k | $6.0k | 126% | — | $261 – $36.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 180 | $11.7k | $17.0k | $12.4k | 73% | — | $0 – $57.0k |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 148 | $2.3k | $5.7k | $6.5k | 114% | — | $79 – $49.0k |
| 4 | Cigna fee schedule · outpatient · +6 other terms | 112 | $3.1k | $5.7k | $5.2k | 91% | — | $0 – $20.7k |
| 5 | Humana fee schedule · outpatient · +6 other terms | 101 | $1.6k | $4.2k | $3.6k | 84% | — | $1.4k – $11.7k |
| 6 | Anthem fee schedule · outpatient · +4 other terms | 87 | $1.8k | $5.1k | $5.7k | 112% | — | $1.2k – $28.3k |
| 7 | Kaiser fee schedule · outpatient · +4 other terms | 37 | $1.6k | $1.5k | $344 | 22% | — | $1.2k – $2.7k |
| 8 | Molina professional · fee schedule · outpatient · +5 other terms | 33 | $746 | $885 | $565 | 64% | — | $260 – $2.2k |
| 9 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $2.6k | $2.7k | $1.1k | 41% | — | $1.3k – $7.0k |
| 10 | WellCare fee schedule · both · +6 other terms | 26 | $1.4k | $1.7k | $552 | 33% | — | $1.1k – $3.0k |
← Hospitals reporting CPT 63704 · Snapshot 20261113T090226Z-3ce6c0b8