go back

North Dakota rates for HCPCS 49600

Rpr Small Omphalocele W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.82 / $718.82 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.52 / $718.82 / $951.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.25 / $1,615.15 / $1,893.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.29 / $1,432.68 / $2,159.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.82 / $944.30 / $1,980.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.28 / $1,244.22 / $5,341.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $1,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.49 / $1,196.71 / $1,847.71