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Maine rates for HCPCS 39503

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

Facilitymedian $22,387 · 10th–90th $20,893$29,5120%20%40%10th90th$22,387Professionalmedian $6,607 · 10th–90th $5,495$11,7490%10%20%10th90th$6,607$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,025.60 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $22,387.21 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,709.64 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $7,943.28 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,943.28 / $11,481.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,888.44 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,709.64 / $12,022.64