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Mississippi 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
$776.25 / $1,819.70 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,623.41 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $9,120.11 / $12,882.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,445.44 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,918.31 / $13,182.57