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Minnesota rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.61 / $724.61 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,443.15 / $6,110.64 / $12,227.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.44 / $2,649.26 / $6,373.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.98 / $2,417.62 / $5,018.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.10 / $1,322.64 / $2,313.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.00 / $4,746.00 / $8,812.00