go back

South Dakota rates for HCPCS 39503

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

Facilitymedian $5,248 · 10th–90th $4,365–$8,7100%20%40%10th90th$5,248Professionalmedian $7,244 · 10th–90th $5,248–$14,1250%20%10th90th$7,244$2.0K$5.0K$10.0K$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
$4,365.16 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,709.64 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $10,000.00 / $40,738.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,589.25 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,772.37 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $11,220.18 / $15,488.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $12,882.50 / $13,489.63