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North Dakota 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
$5,708.56 / $5,708.56 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,205.02 / $5,429.53 / $8,468.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,019.55 / $12,048.55 / $14,443.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,953.37 / $12,541.48 / $16,195.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,708.56 / $7,275.29 / $17,125.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,250.72 / $10,887.80 / $14,568.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,378.15 / $11,596.64 / $14,568.90