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Ohio rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.26 / $2,849.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.22 / $613.26 / $1,465.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.17 / $696.06 / $1,229.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.39 / $901.92 / $901.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.42 / $729.25 / $729.25
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
$567.78 / $795.54 / $1,313.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.45 / $861.83 / $1,299.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $531.14 / $862.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.00 / $2,740.00 / $5,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.54 / $758.85 / $1,266.25