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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29