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Ohio rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $5,597.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,066.00 / $60,320.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.16 / $1,122.72 / $1,634.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.93 / $1,319.93 / $1,319.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $7,847.00