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North Carolina rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $6,166 · 10th–90th $3,162$10,4710%10%20%10th90th$6,166Professionalmedian $6,918 · 10th–90th $4,786$13,8040%10%20%10th90th$6,918$1.0$10.0$100.0$1.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,762.47 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,495.41 / $13,182.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,511.38 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,456.54 / $12,022.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,754.40 / $9,332.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $13,182.57
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $6,760.83 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,570.40 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,370.32 / $9,772.37
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $30,199.52 / $30,199.52
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34,673.69 / $34,673.69 / $42,657.95