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Ohio rates for HCPCS 35021

Dir Rpr Aneurysm Innominate/Subclavian Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.80 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.80 / $1,407.48 / $2,690.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.98 / $1,455.47 / $2,406.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.44 / $1,755.28 / $2,215.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.98 / $1,419.48 / $2,304.51
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
$1,101.18 / $1,688.28 / $2,506.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.89 / $1,782.27 / $2,422.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $1,212.03 / $1,703.27
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
$1,230.73 / $1,626.51 / $2,572.88