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Removal Of Part Of The Diaphragm With Complex Repair

Michigan rates for HCPCS 39561

Cuts out a section of the diaphragm, the muscle sheet separating the chest from the abdomen, and rebuilds the gap with a complex repair, often using a patch of synthetic or biological material. It is done when disease involves the diaphragm itself or has spread onto it from nearby. The repair must be airtight so the chest and abdomen stay properly separated.

Facilitymedian $4,898 · 10th–90th $1,288$4,8980%50%10th$4,898$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,288.25
Median
$4,897.79
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,890.45
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,890.45
Typical High
$6,760.83