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Maine 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 / $5,495.41 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,079.46 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $6,309.57 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $8,317.64 / $14,125.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,606.93 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,918.31 / $10,964.78