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Arizona rates for HCPCS 39503

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

Facilitymedian $4,677 · 10th–90th $1,738–$8,3180%10%10th90th$4,677Professionalmedian $5,888 · 10th–90th $5,129–$12,8820%20%10th90th$5,888$100.0$500.0$2.0K$10.0K$50.0K

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
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,888.44 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $7,244.36 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,165.95 / $26,915.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,244.36 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $5,623.41 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,918.31 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,949.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $11,220.18