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Connecticut rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.00 / $7,629.00 / $10,260.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.84 / $9,758.54 / $13,278.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.00 / $6,639.00 / $9,973.00