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Arkansas 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
$425.74 / $1,277.00 / $3,109.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00