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Wisconsin rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,318.26 / $2,454.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $812.83 / $8,128.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,071.52 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $2,137.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $2,884.03 / $4,570.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $2,238.72