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Alaska rates for HCPCS 49905

Omental flap, intra-abdominal (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,412.54