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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,302.67 / $4,903.13 / $7,385.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,965.18 / $5,674.50 / $6,596.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.64 / $5,611.85 / $10,703.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.21 / $5,092.70 / $9,317.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,288.76 / $5,582.08 / $35,203.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,215.04 / $5,216.41 / $9,827.67