go back

Nebraska 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
$7,079.46 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $11,481.54 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $7,079.46 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $8,709.64 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,456.54 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $35,481.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,964.78 / $15,135.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $10,232.93 / $15,135.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $2,187.76 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $7,413.10 / $12,589.25