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Tennessee rates for HCPCS 49606

Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.42 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.19 / $1,321.56 / $1,983.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,175.00 / $4,232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.54 / $1,469.28 / $2,325.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.23 / $1,578.59 / $2,461.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,248.08 / $10,474.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,023.36 / $8,199.28 / $9,819.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,397.00 / $4,544.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.98 / $1,433.48 / $2,384.85