go back

Alabama rates for HCPCS 39503

Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,623.41 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,220.18 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,754.40 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $7,585.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,888.44 / $9,549.93