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Ohio rates for HCPCS 25115

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.77 / $5,072.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.20 / $869.14 / $1,154.33
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
$868.22 / $971.00 / $980.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,522.00