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Arizona 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
$1,671.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,100.51 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.37 / $425.74 / $4,094.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$535.89 / $992.48 / $992.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.74 / $158.80 / $158.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $5,664.00 / $9,010.00