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Montana rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.60 / $1,255.60 / $1,255.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.66 / $1,023.77 / $1,425.02