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Ohio rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.98 / $2,042.01 / $3,563.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.76 / $1,427.98 / $1,734.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,178.22 / $3,365.01 / $3,840.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.12 / $279.48 / $1,324.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.23 / $177.00 / $335.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $190.88 / $248.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $2,979.67 / $4,733.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.39 / $324.73 / $562.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $2,896.31 / $4,733.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.29 / $322.13 / $540.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $44.58 / $100.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.44 / $1,562.76 / $3,043.44