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Kansas 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
$776.25 / $5,495.41 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $489.78 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $11,748.98