go back

North Carolina 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
$1,635.00 / $7,518.11 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,426.95 / $4,885.56 / $7,518.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,156.25 / $8,609.64 / $12,264.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,853.42 / $7,042.70 / $12,550.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,493.38 / $5,673.68 / $8,799.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.49 / $6,283.00 / $12,945.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.80 / $7,290.89 / $9,339.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.29 / $5,594.72 / $11,875.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $36,498.08 / $43,923.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,397.28 / $34,397.28 / $42,176.33