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Repair Of A Newborn Abdominal Wall Birth Defect

Michigan 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 $4,898 · 10th–90th $3,890$6,9180%50%10th90th$4,898Professionalmedian $5,370 · 10th–90th $4,467$8,5110%20%10th90th$5,370$100.0$500.0$2.0K$10.0K

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
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$7,413.10
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,888.44
Typical High
$12,302.69
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,623.41
Typical High
$15,135.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$10,000.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,495.41
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,715.35
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$8,511.38