go back

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
$407.38 / $2,137.96 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $10,715.19 / $33,884.42