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Ohio rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.71 / $6,251.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.51 / $1,056.18 / $5,344.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.80 / $3,937.58 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,937.58 / $3,937.58 / $4,390.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,231.00 / $10,075.00