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New Jersey 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
$4,365.16 / $6,918.31 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $223.87 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,079.46 / $21,379.62