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Maryland rates for HCPCS 49904

Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.70 / $1,694.11 / $2,410.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00