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Georgia 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
$5,370.32 / $5,754.40 / $11,481.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $32,359.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $8,128.31 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $9,332.54 / $15,488.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $7,079.46 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,235.94 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,585.78 / $12,589.25