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Illinois rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,462.63 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.55 / $658.52 / $1,153.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.29 / $7,218.08 / $14,454.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $697.07 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.17 / $905.89 / $1,291.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.24 / $1,040.36 / $3,357.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.55 / $795.57 / $894.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $935.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.82 / $799.39 / $1,398.69