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Ohio rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.04 / $2,547.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.68 / $113.68 / $315.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.00 / $2,012.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.44 / $129.27 / $233.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.10 / $129.72 / $202.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.91 / $118.91 / $210.80
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
$112.23 / $164.61 / $232.73
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $165.93 / $227.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $119.08 / $159.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,952.00 / $4,132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $149.00 / $253.30