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Missouri 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
$2,507.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,524.30 / $5,140.67 / $11,874.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,410.00 / $5,617.00 / $10,961.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,910.83 / $5,771.93 / $9,277.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,180.30 / $6,574.84 / $10,906.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.00 / $6,166.55 / $10,994.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,896.53 / $8,911.43 / $35,203.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,697.03 / $6,780.80 / $11,651.27