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West Virginia 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
$363.08 / $363.08 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $602.56 / $602.56
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13