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Ohio rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.24 / $2,006.00 / $10,635.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$631.30 / $1,016.00 / $3,737.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,392.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.55 / $832.13 / $978.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,138.00 / $6,522.00