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North Carolina 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
$501.19 / $2,818.38 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $35,481.34
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,162.28 / $16,982.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $2,137.96
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$213.80 / $213.80 / $213.80