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Utah rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.50 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $1,699.28 / $3,278.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $3,523.63 / $4,923.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.51 / $3,503.22 / $3,981.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.82 / $2,773.34 / $4,937.03