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Louisiana rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.50 / $4,725.68 / $7,472.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $733.62 / $733.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.00 / $2,415.00 / $6,661.00