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Ohio rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.87 / $6,193.00 / $11,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.27 / $972.76 / $1,763.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $3,554.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.23 / $1,104.14 / $1,812.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.13 / $1,098.16 / $1,359.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.42 / $1,006.64 / $1,189.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,048.28 / $5,935.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.48 / $1,228.77 / $1,903.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,048.28 / $4,422.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.12 / $1,255.74 / $1,882.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $912.37 / $1,360.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $6,227.00 / $9,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,147.40 / $1,969.61