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Wisconsin rates for HCPCS 49905

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

Facilitymedian $7,586 · 10th–90th $525–$14,1250%10%10th90th$7,586Professionalmedian $741 · 10th–90th $407–$1,1480%10%10th90th$741$100.0$500.0$2.0K$10.0K

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
$371.54 / $691.83 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,000.00 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $741.31 / $1,148.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,137.96 / $2,137.96
Quartz
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$371.54 / $537.03 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$60.26 / $85.11 / $213.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $12,302.69 / $17,782.79