go back

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
$616.60 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,317.64 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.49 / $158.49 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11