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Texas rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,647.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.19 / $1,330.47 / $5,660.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.62 / $733.62 / $754.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $7,220.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.90 / $926.09 / $1,619.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.21 / $928.06 / $1,793.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $3,239.00 / $7,600.00