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Wisconsin rates for HCPCS 49610

Repair of omphalocele (Gross type operation); first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,258.93 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,479.11 / $2,818.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $8,128.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $933.25 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,548.82 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,309.57 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $3,235.94 / $10,000.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $2,511.89