go back

Idaho rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.32 / $837.20 / $1,760.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.50 / $946.93 / $1,143.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.35 / $1,071.61 / $1,865.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.78 / $1,054.01 / $1,204.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $945.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.51 / $1,223.07 / $1,243.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.84 / $833.99 / $1,262.58