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Iowa 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
$2,290.87 / $5,370.32 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,454.71 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,511.89 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,162.28 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $7,413.10