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Unlisted Procedure Of The Mediastinum

Illinois rates for HCPCS 39499

An operation on the mediastinum, the central space in the chest between the lungs that holds the heart, windpipe, gullet and major vessels, for which no standard named entry exists. It is used when a surgeon performs an uncommon or newly developed procedure in that space. A written description of the operation accompanies the claim.

Facilitymedian $3,236 · 10th–90th $1,122$9,7720%5%10%10th90th$3,236Professionalmedian $1,122 · 10th–90th $126$11,4820%10%10th90th$1,122$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,168.69
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$5,623.41
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10