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Colorado 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
$2,506.00 / $3,149.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,613.00 / $13,400.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,577.78 / $2,530.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.42 / $1,848.83 / $2,365.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.24 / $2,026.55 / $2,837.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.00 / $5,540.00 / $12,740.00