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New York rates for HCPCS 49904

Omental Flap Extra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.65 / $3,149.04 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.72 / $1,961.72 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.78 / $1,577.78 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,575.00 / $3,682.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.61 / $1,281.61 / $1,281.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,577.78 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.17 / $1,649.17 / $5,840.03