go back

Arizona rates for HCPCS 49905

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

Facilitymedian $2,692 · 10th–90th $380–$6,9180%5%10%10th90th$2,692$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,890.45 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,467.37 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$537.03 / $537.03 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$85.11 / $85.11 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $5,128.61 / $8,317.64