go back

Kentucky 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
$340.51 / $434.92 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.81 / $455.43 / $525.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $401.09 / $401.09
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,298.00 / $10,113.00