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Indiana 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
$1,380.38 / $5,128.61 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,125.38 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,890.45 / $6,165.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $5,370.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,760.83 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $5,754.40 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,623.41 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,370.32 / $8,128.31