go back

Massachusetts rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.55 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.75 / $610.04 / $827.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,845.00 / $5,572.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.17 / $1,195.99 / $4,535.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $1,004.57 / $2,129.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $976.19 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.63 / $878.57 / $1,295.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.68 / $1,491.47 / $1,842.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $5,572.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.51 / $1,206.71 / $4,535.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.58 / $949.92 / $2,242.50