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Maine rates for HCPCS 49600

Repair of small omphalocele, with primary closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,698.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,621.81