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Repair Of A Newborn Abdominal Wall Birth Defect

Illinois rates for HCPCS 49605

This surgery repairs a birth defect in which part of a newborn's abdominal wall did not form completely, allowing internal organs to protrude outside the body. The surgeon repositions the organs and closes the abdominal wall defect.

Facilitymedian $4,786 · 10th–90th $1,202$9,7720%10%10th90th$4,786Professionalmedian $5,754 · 10th–90th $4,467$12,0230%20%10th90th$5,754$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,786.30
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$11,481.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$58,884.37
Typical High
$112,201.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,244.36
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$6,606.93
Typical High
$10,964.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$8,912.51
Typical High
$22,387.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,456.54
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$10,471.29