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Ohio rates for HCPCS 49580

Repair umbilical hernia, younger than age 5 years; reducible

Facilitymedian $3,388 · 10th–90th $1,072–$10,9650%5%10%10th90th$3,388Professionalmedian $347 · 10th–90th $245–$5620%10%20%10th90th$347$200.0$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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,388.44 / $10,964.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,348.96 / $1,621.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,884.03 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $537.03