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Ohio 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
$1,377.97 / $5,135.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.00 / $8,239.18 / $15,310.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.99 / $1,575.59 / $1,950.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,200.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $600.00 / $1,577.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $2,883.00 / $6,111.00