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Wisconsin rates for HCPCS 49600

Repair of small omphalocele, with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,584.89 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $954.99 / $4,365.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $2,570.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,467.37 / $5,248.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $2,691.53