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Oklahoma rates for HCPCS 39503

Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia

Facilitymedian $3,090 · 10th–90th $1,000$6,7610%10%20%10th90th$3,090Professionalmedian $5,888 · 10th–90th $5,495$9,3330%20%40%10th90th$5,888$100.0$500.0$2.0K$10.0K$50.0K

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
$1,288.25 / $3,890.45 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,754.40 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,762.47 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $7,585.78 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $4,168.69 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,918.31 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $2,570.40 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $8,912.51