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Ohio rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.84 / $4,085.00 / $9,534.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.44 / $811.69 / $811.69
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
$5,205.87 / $5,327.96 / $6,605.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.58 / $3,538.00 / $6,238.00