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Kentucky rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.16 / $973.45 / $9,311.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.83 / $1,029.18 / $1,187.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.20 / $902.20 / $902.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $945.00 / $6,295.00