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South Dakota rates for HCPCS 49905

Omental flap, intra-abdominal (List separately in addition to code for primary procedure)

Facilitymedian $479 · 10th–90th $309–$4,3650%20%10th90th$479Professionalmedian $525 · 10th–90th $135–$6760%10%20%10th90th$525$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $794.33 / $794.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $575.44 / $676.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84