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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
$4,206.57 / $5,556.60 / $7,370.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,900.96 / $5,445.52 / $7,405.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,144.80 / $5,838.35 / $10,779.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,319.46 / $5,910.30 / $8,238.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,104.72 / $5,655.18 / $10,234.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.51 / $5,910.30 / $7,199.10