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Idaho 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
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,370.32 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $17,378.01 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $8,912.51 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $7,244.36 / $10,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,244.36 / $13,489.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $9,549.93 / $10,471.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,265.80 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,918.31 / $10,232.93