go back

Louisiana 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
$756.00 / $2,694.00 / $7,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,389.35 / $7,214.84 / $8,261.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,618.61 / $7,138.94 / $8,687.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $4,392.92 / $4,392.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,605.93 / $6,675.45 / $10,753.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,261.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,279.51 / $5,897.38 / $10,540.78