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Texas rates for HCPCS 39503

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

Facilitymedian $4,677 · 10th–90th $977–$14,4540%10%10th90th$4,677Professionalmedian $6,166 · 10th–90th $5,129–$10,4710%20%40%10th90th$6,166$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,888.44 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,471.29 / $63,095.73
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,456.54 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,762.47 / $12,589.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $35,481.34
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $48,977.88 / $48,977.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,309.57 / $12,302.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,585.78 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11,748.98 / $14,125.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,918.31 / $12,589.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,762.47 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,344.23 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,606.93 / $10,471.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $5,754.40