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Ohio rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $52.07 / $142.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $30.86 / $36.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $42.43 / $68.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $33.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $38.57 / $52.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $50.14 / $52.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $39.69 / $131.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $17.67 / $53.17
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $39.71 / $149.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $14.44 / $25.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $31.82 / $46.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $19.29 / $50.94