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Maine rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $401.09 / $699.00
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