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North Dakota 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
$345.52 / $345.52 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.52 / $474.53 / $1,012.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00