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Arizona rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.75 / $621.32 / $912.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.59 / $4,605.95 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.01 / $718.86 / $835.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.29 / $709.54 / $1,319.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.91 / $731.84 / $2,132.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.88 / $673.37 / $4,535.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.20 / $638.88 / $1,174.66