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Final Closure of Large Abdominal Wall Defect

Idaho rates for HCPCS 49606

The completing operation of a staged repair for a large abdominal wall defect (omphalocele or gastroschisis), performed in the operating room. Removal of the temporary covering (prosthesis) used in earlier stages is included in this final closure.

Rates data updated July 2026.

How much does Final Closure of Large Abdominal Wall Defect cost?

$1,549

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,820 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,549$1,175 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,820$1,413 to $3,388

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,148 to $5,012Professionalmedian $1,549 · 10th to 90th $1,072 to $2,399
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,820professional $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,884.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,454.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$2,344.23

Where Idaho sits

The same service costs 2.3 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $1,549 · 13th of 51
CA $2,692KY $1,148

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.