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Georgia 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
$1,386.32 / $5,045.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.95 / $3,801.18 / $10,304.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.81 / $2,291.81 / $2,291.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $617.00 / $1,233.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.29 / $1,778.78 / $3,203.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $2,969.00 / $9,079.00