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Pennsylvania rates for HCPCS 49250

Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,264.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $2,390.62 / $4,747.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.30 / $1,347.30 / $1,347.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,563.20 / $7,120.74 / $11,901.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $4,761.00 / $8,240.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.50 / $626.50 / $626.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $2,109.00 / $4,517.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.34 / $581.65 / $581.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00