| Code | Description | States | Median rate |
|---|---|---|---|
| 39200 | Open removal of a mid-chest cyst | 46 | $726.46 |
| 39401 | Mid-chest scope with mass biopsy | 47 | $254.26 |
| 39402 | Mid-chest scope with lymph node biopsy | 47 | $330.09 |
| 39501 | Repair of a diaphragm tear | 46 | $692.01 |
| 39503 | Newborn diaphragm hernia repair | 46 | $4,157.34 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.