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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
$5,011.87 / $5,754.40 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $9,332.54 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $11,220.18 / $20,892.96