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Idaho rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.75 / $3,278.53 / $6,808.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.52 / $3,674.16 / $4,430.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.81 / $4,371.09 / $7,830.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.14 / $1,894.14 / $1,894.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $2,841.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,131.75 / $3,684.41 / $5,132.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.81 / $3,037.16 / $4,521.68