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Arkansas 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
$1,513.56 / $1,995.26 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $6,309.57 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,754.40 / $9,120.11