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Ohio rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.20 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.48 / $886.48 / $2,375.27
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
$691.74 / $950.85 / $1,756.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.70 / $1,369.95 / $1,740.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.18 / $1,676.18 / $1,676.18
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
$777.64 / $1,196.75 / $1,812.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.58 / $1,216.74 / $1,807.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.62 / $836.96 / $1,242.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.76 / $1,172.84 / $2,267.62