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Montana rates for HCPCS 49906

Free omental flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.75 / $1,699.28 / $2,522.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,635.91 / $3,635.91 / $3,635.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,470.02 / $3,635.91 / $7,552.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.91 / $1,869.21 / $4,704.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.86 / $3,067.55 / $4,920.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.65 / $4,114.20 / $6,883.24