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Maine rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,412.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $1,862.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96