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Connecticut 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
$4,570.88 / $7,079.46 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,888.44 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,982.44 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $11,220.18 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $9,549.93 / $15,848.93
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,165.95 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,244.36 / $13,803.84