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Florida 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
$1,449.00 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,027.76 / $5,467.03 / $7,101.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,887.42 / $7,998.81 / $13,218.29
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.73 / $4,340.89 / $7,747.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.12 / $4,987.00 / $7,630.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.58 / $7,129.99 / $12,900.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,373.20 / $4,373.20 / $4,373.20