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Maine rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $2,705.15 / $2,705.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.00 / $2,078.69 / $2,078.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,588.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.02 / $3,440.64 / $5,100.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.13 / $2,650.70 / $4,147.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $2,705.15 / $2,705.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.73 / $2,989.43 / $5,003.42