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Virginia rates for HCPCS 39503

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

Facilitymedian $8,128 · 10th–90th $3,311–$21,3800%5%10%10th90th$8,128Professionalmedian $6,457 · 10th–90th $5,129–$10,0000%20%10th90th$6,457$1.0K$2.0K$5.0K$10.0K$20.0K$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
$3,235.94 / $6,456.54 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,888.44 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $18,620.87 / $25,118.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,244.36 / $10,232.93
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,918.31 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,413.10 / $13,489.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,025.60 / $15,848.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $9,120.11 / $13,489.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,762.47 / $11,748.98
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,244.36 / $12,589.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,244.36 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,079.46 / $11,481.54