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Washington, DC 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
$403.65 / $1,614.00 / $7,727.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.02 / $374.76 / $782.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00