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Virginia rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.82 / $5,328.00 / $11,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $925.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.45 / $913.44 / $1,304.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.19 / $1,019.47 / $1,512.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.77 / $968.35 / $1,847.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00