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Ohio rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,698.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.97 / $1,709.77 / $3,330.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,142.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.04 / $1,766.27 / $3,120.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.38 / $1,906.06 / $2,359.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.83 / $1,747.22 / $1,747.22
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
$1,294.83 / $2,223.61 / $3,372.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.22 / $2,266.46 / $3,372.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.98 / $1,379.50 / $2,267.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.01 / $2,142.33 / $3,619.27