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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
$338.84 / $3,388.44 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $7,585.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $1,380.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $512.86 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $5,011.87 / $13,182.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $7,585.78
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,890.45 / $12,882.50