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Indiana rates for HCPCS 49906

Free omental flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.00 / $2,452.32 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $2,452.32 / $3,234.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.50 / $790.00 / $1,179.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.43 / $1,977.31 / $26,999.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.01 / $1,745.36 / $2,281.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,588.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.38 / $2,558.94 / $3,864.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.60 / $2,359.94 / $4,484.42