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Ohio rates for HCPCS 0195T

Arthrodesis, Pre-Sacral Interbody Technique, Including Instrumentation, Imaging (When Performed), And Discectomy To Prep

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.00 / $2,492.00 / $2,931.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,374.89 / $50,749.49 / $62,999.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,499.48 / $70,874.30 / $74,999.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00