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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
$3,162.28 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,623.41 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $15,135.61 / $28,183.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,943.28 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $12,022.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $21,379.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $14,791.08