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North Dakota 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
$4,813.18 / $4,813.18 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $4,813.18 / $7,070.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,686.65 / $10,655.80 / $12,494.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,424.64 / $9,410.87 / $14,147.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,333.23 / $5,999.48 / $10,402.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,532.87 / $8,829.78 / $35,203.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.60 / $9,021.12 / $11,226.01