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Ohio rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.15 / $5,135.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.15 / $1,636.57 / $4,234.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.20 / $1,746.97 / $2,918.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.66 / $1,410.66 / $2,054.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.30 / $1,521.30 / $1,966.88
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
$1,365.80 / $2,107.35 / $3,061.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.35 / $2,143.66 / $3,127.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $1,254.52 / $1,919.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.01 / $1,889.19 / $2,785.30