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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $4,899.50 / $5,671.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,023.23 / $5,370.97 / $8,390.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.04 / $5,106.26 / $11,358.32