go back

Illinois rates for HCPCS 49255

Omentectomy, epiploectomy, resection of omentum (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $9,332.54 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $3,235.94
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
$1,096.48 / $4,073.80 / $7,585.78