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Louisiana rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.00 / $2,562.00 / $3,884.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $309.02 / $309.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $525.00 / $1,100.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.00 / $4,717.00 / $10,959.00