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Illinois rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,462.00 / $5,430.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.60 / $9,193.68 / $18,410.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.15 / $1,337.05 / $2,878.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,951.00 / $6,482.00