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North Dakota rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.06 / $777.06 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.06 / $1,010.18 / $1,676.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $1,530.00 / $1,530.00