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Arizona rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.87 / $909.12 / $3,339.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,205.00 / $5,133.00