go back

Ohio rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.65 / $7,155.00 / $14,579.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.93 / $672.93 / $2,169.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.00 / $5,480.00 / $25,522.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.24 / $723.88 / $1,259.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.67 / $744.82 / $989.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.75 / $711.16 / $1,210.32
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
$567.54 / $868.96 / $1,348.31
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.67 / $943.36 / $1,348.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $624.86 / $919.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,227.00 / $8,796.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.65 / $837.92 / $1,389.50