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Colorado 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
$3,008.00 / $5,041.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,429.53 / $5,480.74 / $8,468.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,171.00 / $11,898.00 / $22,154.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,276.24 / $8,235.37 / $11,359.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,350.19 / $8,668.39 / $11,716.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,480.74 / $7,601.45 / $9,298.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,850.93 / $8,440.34 / $10,851.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,581.57 / $9,594.91 / $16,938.49