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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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,426.95 / $6,583.45 / $14,059.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,820.08 / $7,548.62 / $9,184.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,691.72 / $8,426.82 / $14,903.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,862.73 / $8,339.26 / $9,530.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $8,317.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,308.66 / $9,733.33 / $9,897.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,204.51 / $6,894.71 / $10,701.14