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New York rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.09 / $4,072.50 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.95 / $1,113.95 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.20 / $902.20 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $575.00 / $2,117.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.44 / $739.44 / $739.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $902.20 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $3,972.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.96 / $944.96 / $2,814.54