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Ohio rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.18 / $2,547.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.86 / $125.88 / $221.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.84 / $163.15 / $276.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.09 / $152.08 / $180.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.83 / $133.83 / $155.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $177.92 / $298.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $157.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.36 / $182.50 / $273.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.80 / $152.80 / $209.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $1,009.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.05 / $165.15 / $317.83