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Ohio rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.48 / $9,044.83 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,971.48 / $2,971.48 / $5,989.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.00 / $17,502.61 / $31,496.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.94 / $3,372.62 / $5,730.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.91 / $3,765.59 / $5,883.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,451.79 / $3,451.79 / $6,119.09
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
$2,628.16 / $4,360.33 / $6,745.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,044.36 / $4,446.51 / $6,745.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.25 / $2,678.59 / $4,396.78
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
$3,157.01 / $4,400.27 / $8,236.17