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Nationwide rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Facilitymedian $4,898 · 10th–90th $724–$13,8040%5%10%10th90th$4,898Professionalmedian $708 · 10th–90th $550–$1,5140%20%10th90th$708$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $4,570.88 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $8,709.64 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,047.13 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $831.76 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,818.38 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $776.25 / $1,445.44

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