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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
$5,623.41 / $9,332.54 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $12,022.64 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $8,511.38 / $14,454.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,413.10 / $11,481.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $11,748.98 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,760.83 / $13,182.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $51,286.14 / $51,286.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $48,977.88