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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
$1,386.00 / $4,846.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,345.43 / $4,892.64 / $6,590.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.56 / $3,771.25 / $5,355.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,299.66 / $5,589.56 / $6,449.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,299.66 / $5,159.59 / $6,449.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.37 / $5,499.02 / $9,842.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,091.02 / $5,370.13 / $9,108.15