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New York 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
$457.09 / $3,162.28 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $602.56 / $7,762.47
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $489.78 / $1,230.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,495.41 / $13,489.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $416.87 / $1,479.11