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Ohio rates for HCPCS 84402

Testosterone; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $51.29 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.92 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $32.36
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $26.92 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $25.70 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.60 / $47.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $57.54 / $169.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $19.05 / $42.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.89 / $31.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $28.18 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $17.38 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $30.90