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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
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $512.86 / $870.96