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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $9,302.56 / $16,325.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.30 / $543.03 / $837.19
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$992.48 / $992.48 / $992.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.80 / $158.80 / $158.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.00 / $763.45 / $1,086.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00