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Omental Flap Moved Outside the Abdomen

Pennsylvania rates for HCPCS 49904

Takes the omentum, the apron of fatty tissue that hangs inside the abdomen, and moves it out of the abdomen while keeping it attached to its own blood supply, so it can cover a defect elsewhere such as a chest wall or breastbone wound. Its rich blood supply helps infected or poorly healing areas close. The abdomen is opened to free and shape the tissue.

Rates data updated July 2026.

How much does Omental Flap Moved Outside the Abdomen cost?

$5,370

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $1,514 to $7,762.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511
$500$1K$2K$5K$10K$20Kfacility $5,370

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$36,307.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57

Where Pennsylvania sits

The same service costs 10.2 times more in Maine than in Wyoming. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 13th of 50

$5,370

ME $13,183WY $1,288

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.