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Montana rates for HCPCS 49905

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.51 / $550.51 / $550.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.27 / $518.61 / $647.04