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Ohio rates for HCPCS 0055T

Cptr-Asst Muscskel Navigj Ortho Ct/Mri

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.00 / $2,989.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $204.78 / $426.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.33 / $263.33 / $263.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $207.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.79 / $2,983.50 / $6,712.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.24 / $3,423.57 / $6,041.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.87 / $238.87 / $238.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.46 / $365.02 / $996.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $273.51 / $557.17