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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,888.44 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $19,498.45 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $8,128.31 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $12,302.69 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,943.28 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $11,481.54 / $40,738.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $13,182.57 / $17,782.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $3,715.35 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $10,471.29 / $15,135.61