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Washington, DC 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
$2,137.96 / $5,623.41 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,370.32 / $9,549.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $5,248.07 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,623.41 / $13,803.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,370.32 / $11,220.18