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California rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.83 / $10,004.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $6,264.00 / $14,341.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,487.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $750.00 / $5,431.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$243.96 / $243.96 / $243.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$39.03 / $39.03 / $39.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.33 / $365.15 / $492.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.12 / $413.52 / $777.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$69.20 / $87.29 / $500.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$69.20 / $69.20 / $87.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,453.28 / $1,657.85
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$425.07 / $992.48 / $1,036.16
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$68.01 / $158.80 / $165.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.09 / $442.60 / $699.61
Providence
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$243.96 / $243.96 / $522.96
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$133.88 / $133.88 / $133.88
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$39.03 / $39.03 / $113.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,483.00 / $11,707.00 / $26,451.00