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California rates for HCPCS 49250

Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.72 / $8,479.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $6,941.00 / $15,529.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,497.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $2,128.87 / $5,874.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.65 / $737.72 / $2,362.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.90 / $731.42 / $1,347.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,907.96 / $9,558.29 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.73 / $731.42 / $1,081.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.60 / $9,606.00 / $21,278.00