go back

South Dakota rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.73 / $2,346.73 / $2,346.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.75 / $1,535.56 / $2,346.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,533.20 / $4,860.03 / $6,075.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.83 / $2,595.10 / $4,580.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.00 / $3,961.49 / $16,826.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,918.09 / $5,264.25 / $6,292.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.09 / $4,210.68 / $5,264.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.66 / $3,906.66 / $6,497.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,008.50 / $3,681.00 / $3,681.00