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Idaho rates for HCPCS 39503

Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia

Facilitymedian $6,607 · 10th–90th $4,467–$23,9880%20%10th90th$6,607Professionalmedian $6,457 · 10th–90th $5,248–$10,9650%10%20%10th90th$6,457$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,309.57 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $23,442.29 / $28,183.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,715.19 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $8,128.31 / $10,715.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,413.10 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,332.54 / $11,748.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,120.11 / $10,232.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,128.31 / $12,302.69