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Ohio rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $2,818.38 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $213.80 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $331.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $218.78 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $954.99 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $275.42