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Michigan 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 / $4,897.79 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $741.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,398.83 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $5,011.87 / $12,882.50