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New Mexico 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
$512.86 / $524.81 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $7,585.78 / $16,982.44