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Ohio rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.43 / $3,401.00 / $8,817.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.74 / $105.81 / $222.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.06 / $77.06 / $77.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.35 / $118.89 / $204.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.46 / $109.75 / $135.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.61 / $100.61 / $123.52
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
$105.18 / $156.34 / $275.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.68 / $1,537.50 / $5,801.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $156.61 / $275.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.52 / $118.36 / $159.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $979.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.85 / $149.78 / $239.34