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Ohio rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,019.95 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $2,630.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $1,288.25 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $1,445.44 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $128.82