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Ohio rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.57 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.57 / $935.57 / $1,880.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $12,098.50 / $21,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.34 / $1,001.68 / $1,729.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.90 / $1,089.48 / $1,348.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.25 / $998.69 / $998.69
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
$767.63 / $1,271.06 / $1,911.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.90 / $1,320.54 / $1,911.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $868.73 / $1,288.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.04 / $1,186.63 / $2,012.56