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Illinois rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.79 / $1,278.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.70 / $4,141.04 / $8,292.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $587.00 / $908.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$243.96 / $243.96 / $243.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$39.03 / $39.03 / $39.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.41 / $597.00 / $2,355.16
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00