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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
$5,248.07 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,754.40 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $12,302.69 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,000.00 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,511.38 / $16,982.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $10,471.29 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $10,471.29 / $14,125.38