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Ohio rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.37 / $7,155.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.76 / $1,463.60 / $2,952.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.67 / $1,688.36 / $2,670.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.01 / $1,460.74 / $2,127.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.79 / $1,575.30 / $2,004.93
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
$1,484.23 / $2,014.31 / $2,858.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.90 / $1,710.90 / $1,710.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.33 / $2,076.52 / $2,858.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,056.39 / $1,796.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,793.00 / $6,557.00 / $10,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.27 / $1,862.53 / $3,084.21