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Michigan 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
$457.09 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $524.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,000.00 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $7,079.46 / $10,715.19