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Ohio rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.33 / $2,785.00 / $9,516.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.00 / $1,765.00 / $3,943.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.09 / $174.11 / $215.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $530.00 / $885.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $530.00 / $885.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $876.00 / $3,218.00