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Alaska rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,820.00 / $10,850.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $5,348.87 / $25,986.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,735.68 / $7,374.57 / $16,688.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,902.66 / $25,986.04 / $36,380.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,913.23 / $17,941.89 / $33,144.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,071.24 / $23,137.60 / $36,351.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,902.66 / $25,986.04 / $36,380.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,838.59 / $17,542.80 / $31,781.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,346.23 / $13,350.70 / $36,825.76