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Ohio rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $338.84 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $16.98 / $407.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,466.84 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $5,011.87 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $371.54 / $407.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $331.13 / $1,318.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $288.40 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $371.54