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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.09 / $155.09 / $155.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00