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Vermont 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
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,456.54 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $8,709.64 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $23,442.29