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First Stage Repair of Newborn Belly Defect

Maine rates for HCPCS 49610

The first stage of a staged operation to repair an opening in a newborn's abdominal wall through which the intestines and other organs protrude. Coverage is brought over the exposed organs to protect them, and the abdominal wall itself is closed at a later operation once the abdomen can accommodate the organs.

Rates data updated July 2026.

How much does First Stage Repair of Newborn Belly Defect cost?

$871

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $813 to $1,349.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $11,749 to $17,783Professionalmedian $851 · 10th to 90th $708 to $1,778
$1K$2K$5K$10K$20Kfacility $13,183professional $851

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$13,489.63
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,621.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,905.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,862.09

Where Maine sits

The same service costs 2.5 times more in California than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 23rd of 51

$871

CA $1,778VT $708

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.