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Initial Inguinal Hernia Repair In A Young Child

Mississippi rates for HCPCS 49500

This is a surgical repair of a first-time groin hernia in a young child, performed through an open incision to close the weak spot in the abdominal wall where tissue has been bulging through. It is used when the hernia can be gently pushed back into place, rather than being trapped or cutting off blood flow to the bulging tissue. It applies to a child within a specific young age range, distinct from the repair approach used in infants or in older children and adults.

Facilitymedian $1,995 · 10th–90th $380$5,3700%10%10th90th$1,995Professionalmedian $447 · 10th–90th $347$8910%10%10th90th$447$50.0$200.0$1.0K$5.0K$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
$380.19
Median
$1,819.70
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,884.03
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,235.94
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$977.24