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New Jersey rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $7,413 · 10th–90th $4,467–$11,4820%10%10th90th$7,413Professionalmedian $5,495 · 10th–90th $4,169–$10,4710%10%20%10th90th$5,495$100.0$500.0$2.0K$10.0K$50.0K

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
$4,570.88 / $7,585.78 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,025.60 / $12,022.64
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,606.93 / $9,549.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $223.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,623.41 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,897.79 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,495.41 / $10,471.29