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California rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.72 / $8,479.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $8,484.00 / $18,150.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $5,620.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.98 / $708.19 / $1,147.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.84 / $966.06 / $1,731.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,220.96 / $7,381.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.50 / $969.00 / $1,365.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.00 / $7,274.00 / $15,471.00