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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
$1,028.90 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.81 / $1,881.01 / $2,633.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.81 / $1,881.01 / $2,633.41