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Alaska rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.57 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.40 / $4,183.93 / $5,857.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.40 / $4,183.93 / $5,857.52