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North Carolina 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
$1,615.00 / $5,769.87 / $9,365.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,429.53 / $5,657.21 / $10,051.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,968.56 / $11,705.74 / $14,435.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,034.07 / $9,453.29 / $15,572.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,354.64 / $7,552.36 / $13,277.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,552.36 / $7,552.36 / $15,599.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,368.50 / $14,185.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.67 / $7,715.19 / $15,914.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $42,466.16 / $51,051.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,052.16 / $40,052.16 / $48,947.03