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Ohio rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $7,413 · 10th–90th $2,692–$13,8040%5%10%10th90th$7,413Professionalmedian $5,248 · 10th–90th $3,890–$10,0000%10%20%10th90th$5,248$50.0$200.0$1.0K$5.0K$20.0K

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
$3,467.37 / $7,585.78 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $6,456.54 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,677.35 / $7,762.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,786.30 / $6,025.60
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $4,073.80 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $6,309.57 / $10,715.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $575.44 / $8,317.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $6,165.95 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,884.03 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,370.32 / $8,912.51