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Montana rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $8,318 · 10th–90th $5,129–$10,2330%20%40%10th90th$8,318Professionalmedian $5,888 · 10th–90th $4,365–$13,1830%20%10th90th$5,888$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,128.61 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,760.83 / $14,791.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $9,332.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,760.83 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $7,762.47 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,128.31 / $10,964.78