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Texas 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
$912.01 / $3,715.35 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $630.96 / $3,311.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $2,511.89
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,137.96
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$213.80 / $213.80 / $213.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,456.54 / $13,489.63