go back

Massachusetts 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
$2,691.53 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,370.32 / $15,135.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $43,651.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $6,918.31 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $9,549.93 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $6,309.57 / $13,182.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $5,888.44 / $9,332.54
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,606.93 / $9,772.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,454.71 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $12,302.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $43,651.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,918.31 / $34,673.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,918.31 / $13,489.63