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Ohio rates for HCPCS 20604

Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting

Facilitymedian $851 · 10th–90th $69$5,1290%5%10%10th90th$851Professionalmedian $81 · 10th–90th $45$1660%10%10th90th$81$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $831.76 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$645.65 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $169.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $213.80 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,137.96 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$67.61 / $104.71 / $177.83
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $74.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $81.28 / $138.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $741.31 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $134.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $39.81
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $186.21
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $87.10 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $891.25 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $67.61 / $117.49