go back

Illinois 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
$1,159.00 / $2,690.85 / $5,430.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,395.71 / $16,121.44 / $32,283.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,577.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.94 / $2,397.64 / $6,359.02
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00