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Kentucky 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
$1,335.45 / $1,669.62 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.27 / $1,788.81 / $2,063.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.78 / $1,577.78 / $1,577.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,513.00 / $27,879.00