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Texas 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
$1,002.00 / $3,766.00 / $12,281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,457.39 / $5,022.01 / $7,440.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,776.75 / $8,190.10 / $42,918.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,140.39 / $5,400.26 / $7,935.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.92 / $4,392.92 / $4,591.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,208.93 / $6,383.77 / $10,047.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $43,923.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,397.28 / $35,203.28 / $42,176.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,480.47 / $5,613.85 / $10,093.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,480.08 / $7,290.89 / $8,577.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,590.33 / $5,950.20 / $10,017.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,480.47 / $5,637.91 / $11,266.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,650.24 / $6,868.99 / $12,172.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,987.20 / $5,417.24 / $8,527.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,067.03 / $4,723.47 / $6,367.41