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Ohio rates for HCPCS 49000

Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.00 / $5,217.00 / $12,096.23
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$382.32 / $568.50 / $1,274.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.00 / $8,239.18 / $15,310.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.12 / $879.74 / $1,088.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $875.09 / $21,571.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$688.97 / $688.97 / $688.97
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.12 / $86.12 / $86.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $600.00 / $1,200.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$688.97 / $688.97 / $688.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.12 / $86.12 / $86.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.00 / $5,209.00 / $7,778.00