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Utah rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.99 / $4,387.00 / $8,649.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,156.49 / $6,430.49 / $9,231.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00