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Wyoming rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,426.95 / $4,870.72 / $6,602.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,726.00 / $15,271.00 / $23,627.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,013.16 / $8,061.17 / $11,664.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,181.08 / $9,110.45 / $19,083.25