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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

Facilitymedian $8,511 · 10th–90th $5,012–$21,8780%20%10th90th$8,511Professionalmedian $7,079 · 10th–90th $5,012–$19,9530%20%40%10th90th$7,079$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,025.60 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $19,498.45 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $8,128.31 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,589.25 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $8,511.38 / $52,480.75
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $11,481.54 / $40,738.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $13,182.57 / $17,782.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $3,715.35 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,471.29 / $14,125.38