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Ohio rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.68 / $46.18 / $90.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.99 / $121.55 / $234.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $25.68 / $47.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.48 / $95.87 / $193.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $93.21 / $93.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.32 / $25.38 / $29.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $116.05 / $198.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.63 / $32.44 / $56.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.55 / $82.28 / $145.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $99.88 / $127.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $32.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.36 / $143.90 / $266.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.25 / $35.46 / $59.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.58 / $108.96 / $203.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $32.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.23 / $143.90 / $249.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.24 / $35.83 / $58.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.95 / $111.97 / $192.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.51 / $117.26 / $181.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $122.34 / $232.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.88 / $31.64 / $53.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.48 / $95.72 / $171.97