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Alaska rates for HCPCS 49904

Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,089.30 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,187.76 / $5,370.32