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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
$3,500.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,224.05 / $5,273.77 / $9,298.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,372.88 / $8,673.98 / $8,673.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,944.01 / $8,603.00 / $12,408.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,273.77 / $10,317.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,007.88 / $7,209.45 / $41,111.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,856.84 / $6,883.13 / $12,810.64