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Kansas 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
$3,162.28 / $6,309.57 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $8,128.31 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $4,897.79 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,760.83 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,309.57 / $9,549.93