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Ohio rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $11.50 / $32.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.73 / $5.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $6.05 / $9.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $5.94
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.50 / $7.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.15 / $7.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.67 / $12.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.41 / $8.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.76 / $34.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.41 / $9.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.54 / $6.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.30 / $7.69