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Minnesota 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
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,309.57 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.26 / $60.26 / $60.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $5,495.41 / $11,748.98