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Maryland 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
$40,032.62 / $40,032.62 / $40,032.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $599.00 / $2,530.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.85 / $430.97 / $584.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00