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South Carolina rates for HCPCS 49905

Omental Flap Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.54 / $949.98 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $535.00 / $570.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$243.96 / $243.96 / $243.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$39.03 / $39.03 / $39.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.88 / $481.00 / $736.16
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$87.48 / $96.20 / $141.29
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.23 / $67.34 / $98.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $15,451.00 / $23,485.00