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Indiana rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.10 / $1,386.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.91 / $922.88 / $1,064.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $902.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00