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Ohio rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.84 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.87 / $249.84 / $505.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,981.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.46 / $274.49 / $459.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.29 / $187.29 / $187.29
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
$234.71 / $318.38 / $486.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.37 / $325.70 / $498.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.06 / $316.56 / $422.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,017.00 / $3,398.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.06 / $324.93 / $573.38