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Ohio rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $51.29 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $97.72 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $186.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $44.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $229.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $42.66 / $61.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $128.82 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $53.70
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $138.04