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Ohio rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.04 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $83.32 / $202.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,059.00 / $2,550.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $99.62 / $171.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.39 / $125.79 / $125.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $100.29 / $100.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $111.23 / $182.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.47 / $118.53 / $181.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $114.31 / $156.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $975.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $102.13 / $173.28