go back

New Mexico rates for HCPCS 49255

Omentectomy, epiploectomy, resection of omentum (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.07 / $7,838.38 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.20 / $902.20 / $902.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.72 / $910.91 / $1,167.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $6,599.00 / $7,158.00