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Ohio rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.51 / $2,036.00 / $8,386.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $129.62 / $248.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $128.84 / $228.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $99.26 / $117.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.71 / $189.54 / $189.54
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
$76.22 / $134.79 / $249.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.85 / $1,685.84 / $2,140.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.26 / $138.96 / $245.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.48 / $185.37 / $257.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,551.00 / $5,235.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $158.74 / $257.02