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Minnesota rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.23 / $312.23 / $312.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.08 / $5,434.68 / $11,327.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.74 / $1,131.13 / $2,721.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.04 / $1,032.23 / $2,142.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.61 / $569.87 / $1,061.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00