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Massachusetts 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
$335.70 / $2,747.00 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,657.85 / $7,290.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$535.89 / $1,036.16 / $1,036.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.74 / $165.79 / $165.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $538.44 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,324.00 / $9,849.00
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$535.89 / $1,036.16 / $1,036.16
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.74 / $165.79 / $165.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00