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Nevada 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
$2,238.72 / $5,011.87 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,888.44 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,332.54 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,762.47 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $6,606.93 / $9,772.37
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $6,025.60 / $8,709.64
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $7,762.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,570.40 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,606.93 / $10,232.93