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Washington, DC 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
$1,017.00 / $1,620.50 / $7,727.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.01 / $1,506.33 / $3,151.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00