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Illinois 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
$1,202.26 / $4,786.30 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,370.32 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $58,884.37 / $112,201.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,244.36 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $6,606.93 / $10,964.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $9,332.54 / $22,387.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,456.54 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,165.95 / $10,232.93