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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $512.86 / $7,585.78
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,471.29