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Missouri 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
$368.04 / $4,261.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,319.00 / $10,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.82 / $517.90 / $1,842.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$535.89 / $992.48 / $992.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.74 / $158.80 / $158.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00