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Idaho rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.83 / $1,381.27 / $2,420.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.99 / $4,775.12 / $7,878.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00