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Kentucky 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
$851.14 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,754.40 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,715.19 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,011.87 / $7,585.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,244.36 / $8,511.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $7,413.10 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $6,760.83 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $30,902.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,466.84 / $30,199.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,165.95 / $10,471.29