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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
$362.41 / $362.41 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.29 / $426.34 / $464.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.09 / $401.09 / $401.09
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$243.96 / $243.96 / $243.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$39.03 / $39.03 / $39.03