go back

Oklahoma rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.53 / $501.98 / $6,334.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95