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South Carolina 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
$524.81 / $9,332.54 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $575.44 / $616.60
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $16,595.87 / $25,703.96