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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
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,302.67 / $4,490.84 / $9,855.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,735.75 / $12,664.39 / $22,225.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,141.31 / $7,059.06 / $9,412.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,955.82 / $10,721.90 / $15,268.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,678.00 / $7,271.51 / $10,402.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,798.15 / $10,183.62 / $35,203.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,891.00 / $10,721.90 / $14,602.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,222.00 / $10,721.90 / $14,385.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $6,216.50 / $12,782.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,798.15 / $10,558.75 / $12,689.88