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North Carolina 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
$1,348.96 / $2,238.72 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $35,481.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,819.70 / $6,309.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $21,877.62 / $21,877.62