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West Virginia rates for HCPCS 49255

Omntc Epiploectomy Rescj Omentum Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.83 / $1,228.98 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.56 / $951.76 / $1,036.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.20 / $902.20 / $902.20