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Ohio rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.65 / $6,193.00 / $11,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.96 / $1,372.83 / $2,475.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,918.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.03 / $1,326.57 / $2,442.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.39 / $1,414.07 / $1,750.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.54 / $1,296.23 / $1,296.23
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
$995.77 / $1,649.75 / $2,484.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.39 / $1,758.09 / $2,486.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.13 / $1,019.05 / $1,648.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.21 / $1,590.83 / $2,776.29