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Ohio rates for HCPCS 39200

Resection of mediastinal cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.88 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.44 / $875.88 / $1,725.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,129.00 / $14,299.15 / $25,723.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.84 / $1,010.05 / $1,810.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.18 / $985.42 / $1,219.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.30 / $903.30 / $984.84
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
$763.80 / $1,238.03 / $1,757.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.18 / $1,260.51 / $1,850.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.53 / $825.96 / $1,211.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.26 / $1,074.49 / $1,816.79