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Repair Of A Newborn Abdominal Wall Birth Defect

Texas rates for HCPCS 49605

This surgery repairs a birth defect in which part of a newborn's abdominal wall did not form completely, allowing internal organs to protrude outside the body. The surgeon repositions the organs and closes the abdominal wall defect.

Facilitymedian $4,898 · 10th–90th $1,148$12,8820%10%10th90th$4,898Professionalmedian $5,370 · 10th–90th $4,365$8,5110%20%10th90th$5,370$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,890.45
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$8,709.64
Typical High
$51,286.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,248.07
Typical High
$7,585.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$6,165.95
Typical High
$10,232.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$30,199.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$34,673.69
Median
$42,657.95
Typical High
$42,657.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$10,471.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,495.41
Typical High
$8,709.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,073.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$8,511.38
Typical High
$11,481.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,888.44
Typical High
$10,471.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$6,165.95
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,290.87
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,495.41
Typical High
$8,317.64
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,786.30
Typical High
$5,495.41