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Connecticut 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
$2,114.92 / $7,629.00 / $8,031.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.84 / $9,758.54 / $13,278.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $4,738.00 / $16,193.00