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Ohio rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $28.06 / $41.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $10.75 / $19.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $14.78 / $23.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $6.64 / $14.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $13.44 / $18.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $17.47 / $18.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $13.84 / $56.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $10.78 / $19.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $13.84 / $56.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.74 / $18.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $11.08 / $16.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.08 / $18.77