go back

Missouri rates for HCPCS 49905

Omental flap, intra-abdominal (List separately in addition to code for primary procedure)

Facilitymedian $4,266 · 10th–90th $513–$8,5110%5%10%10th90th$4,266$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $4,897.79 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,677.35 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $512.86 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$537.03 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$85.11 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,818.38 / $5,888.44