go back

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
$309.03 / $346.74 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $478.63 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,818.38