go back

South Carolina 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
$4,466.84 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,370.32 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $4,365.16 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $575.44 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $6,165.95 / $13,803.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,413.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,309.57 / $10,232.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $6,165.95 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,370.32 / $9,332.54