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Massachusetts rates for HCPCS 39503

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

Facilitymedian $3,715 · 10th–90th $2,692–$8,1280%10%20%10th90th$3,715Professionalmedian $6,607 · 10th–90th $5,495–$15,1360%10%20%10th90th$6,607$100.0$500.0$2.0K$10.0K$50.0K

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
$2,691.53 / $3,715.35 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,888.44 / $14,125.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,548.13 / $18,197.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $8,128.31 / $39,810.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,964.78 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $8,709.64 / $19,952.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,918.31 / $8,912.51
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,079.46 / $10,000.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,549.93 / $14,125.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,548.13 / $18,197.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $8,128.31 / $39,810.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,311.31 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,709.64 / $16,595.87