go back

Wisconsin rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $8,128 · 10th–90th $4,786–$14,4540%10%20%10th90th$8,128Professionalmedian $5,888 · 10th–90th $4,467–$17,7830%20%10th90th$5,888$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
$5,128.61 / $9,549.93 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,128.61 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,709.64 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $13,803.84 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,220.18 / $19,498.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,888.44 / $10,471.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,000.00 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,248.07 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $35,481.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $9,549.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $9,332.54 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $10,471.29 / $16,218.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $43,651.58 / $43,651.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $22,908.68 / $34,673.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $18,197.01 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,760.83 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,079.46 / $18,197.01