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Ohio rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.36 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,047.36 / $1,941.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.69 / $1,163.93 / $1,860.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.91 / $1,045.00 / $1,521.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.88 / $1,126.95 / $1,434.30
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
$1,046.30 / $1,434.30 / $1,978.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.95 / $1,224.95 / $1,224.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.73 / $1,434.30 / $1,978.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $734.71 / $1,282.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.80 / $1,338.65 / $2,227.42