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Minnesota rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,248.07 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,882.50 / $39,810.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $12,022.64 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $16,595.87 / $39,810.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $12,589.25 / $19,498.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $15,848.93 / $30,902.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $11,481.54 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $9,120.11 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $8,317.64 / $16,218.10