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Wyoming 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
$5,766.59 / $5,766.59 / $5,766.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,478.00 / $13,774.00 / $18,478.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,998.81 / $9,387.79 / $13,987.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,895.69 / $14,769.84 / $23,624.04