go back

Iowa rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,066.00 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.31 / $571.92 / $1,570.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.00 / $782.29 / $1,881.01
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$992.48 / $992.48 / $992.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.80 / $158.80 / $158.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.84 / $786.36 / $1,086.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $7,487.00 / $11,732.00