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Ohio rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.00 / $3,475.19 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.71 / $1,021.71 / $2,565.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,287.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,153.54 / $2,070.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.49 / $1,192.19 / $1,475.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.98 / $1,092.83 / $1,092.83
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
$769.50 / $1,390.89 / $2,148.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.49 / $1,459.30 / $2,169.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $1,033.06 / $1,472.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,665.00 / $5,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.13 / $1,399.31 / $2,605.36