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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
$1,148.15 / $5,370.32 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,754.40 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $8,317.64 / $14,791.08
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $21,379.62 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,265.80 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $7,079.46 / $12,882.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $5,754.40