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Repair Of A Newborn Abdominal Wall Birth Defect

Massachusetts rates for HCPCS 49605

This surgery repairs a birth defect in which part of a newborn's abdominal wall did not form completely, allowing internal organs to protrude outside the body. The surgeon repositions the organs and closes the abdominal wall defect.

Facilitymedian $3,802 · 10th–90th $1,950$6,6070%10%10th90th$3,802Professionalmedian $6,166 · 10th–90th $4,571$13,1830%10%10th90th$6,166$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$13,182.57
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$30,199.52
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,918.31
Typical High
$34,673.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$6,456.54
Typical High
$13,182.57
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,754.40
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,888.44
Typical High
$8,709.64
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$12,022.64
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$30,199.52
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,918.31
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,754.23
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$7,585.78
Typical High
$13,803.84