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Wisconsin rates for HCPCS 39503

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

Facilitymedian $12,589 · 10th–90th $6,761$21,3800%20%10th90th$12,589Professionalmedian $7,079 · 10th–90th $5,129$22,9090%20%40%10th90th$7,079$50.0$200.0$1.0K$5.0K$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
$5,128.61 / $10,964.78 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $10,471.29 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $16,218.10 / $25,703.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $16,982.44 / $19,498.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,762.47 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $13,182.57 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,128.61 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,772.37 / $32,359.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $7,762.47
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $12,022.64
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $14,125.38 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,489.63 / $22,908.68
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $51,286.14 / $51,286.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $27,542.29 / $39,810.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $37,153.52 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,912.51 / $23,988.33