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Ohio rates for HCPCS 28715

Arthrodesis; triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.03 / $4,803.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.00 / $8,125.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.12 / $1,071.82 / $1,423.50
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
$1,067.22 / $1,067.22 / $1,067.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $9,125.00 / $18,211.00