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Ohio rates for HCPCS 35152

Dir Rpr Ruptd Aneurysm & Grf Popliteal Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.54 / $5,135.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.54 / $1,541.20 / $3,047.07
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
$1,070.81 / $1,511.73 / $2,566.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.81 / $1,955.31 / $2,468.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.33 / $1,448.13 / $2,567.13
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
$1,222.38 / $1,843.08 / $2,969.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.48 / $1,846.95 / $2,917.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $1,292.82 / $1,889.12
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
$1,420.93 / $1,860.40 / $2,991.64