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Washington rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.86 / $4,425.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,381.44 / $12,508.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.27 / $1,564.71 / $2,384.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.18 / $1,531.62 / $1,599.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.91 / $1,460.91 / $2,583.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,232.39 / $9,468.42 / $18,112.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00