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Ohio rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.93 / $1,902.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.74 / $163.16 / $309.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $62.08 / $62.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $148.37 / $282.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.28 / $141.33 / $623.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.99 / $202.56 / $316.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $459.12 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $170.15 / $313.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.12 / $511.97 / $844.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $164.48 / $310.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.47 / $186.05 / $257.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.00 / $2,474.00 / $4,951.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $186.95 / $386.32