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Louisiana 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
$933.25 / $3,467.37 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $8,317.64 / $10,471.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $7,079.46 / $11,748.98