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Ohio rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.60 / $5,135.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.00 / $8,239.18 / $15,310.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.37 / $906.44 / $1,121.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $902.20 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $600.00 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00