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Maryland rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,370.32 / $10,232.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,248.07 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,623.41 / $9,772.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,128.61 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,495.41 / $10,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,754.40 / $6,760.83