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Arkansas 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
$1,698.24 / $1,819.70 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $2,570.40