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Virginia rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $6,166 · 10th–90th $3,090–$12,0230%10%10th90th$6,166Professionalmedian $5,495 · 10th–90th $4,365–$9,1200%10%20%10th90th$5,495$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,548.82 / $5,623.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,248.07 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,165.95 / $9,549.93
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,248.07 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,623.41 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $8,511.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,025.60 / $7,413.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,309.57 / $9,772.37
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $8,709.64
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,623.41 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,623.41 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,162.28 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,623.41 / $9,332.54