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Ohio rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.27 / $2,475.00 / $11,581.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.09 / $222.65 / $324.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $260.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00