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Ohio rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.96 / $7,899.00 / $11,581.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,544.75 / $6,544.75 / $6,544.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.80 / $1,272.96 / $1,690.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,081.96 / $6,779.99 / $19,867.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00