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Repair of a Long-Standing Diaphragm Tear

Alabama rates for HCPCS 39541

Repairs a tear in the diaphragm, the sheet of muscle between the chest and abdomen, caused by an earlier injury and found some time after the event rather than at the time of the trauma. Abdominal organs that have pushed up into the chest are brought back down and the defect is closed, with a mesh or patch if the gap is large. Older tears are stiffer and often stuck to surrounding tissue, making the repair more involved.

Facilitymedian $2,188 · 10th–90th $955$12,3030%10%10th90th$2,188Professionalmedian $912 · 10th–90th $832$1,2880%50%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,220.18
Typical High
$15,488.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,698.24
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,513.56