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Ohio rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $61.66 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $27.54 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $33.11
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $25.70
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $20.42 / $20.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.92 / $32.36
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 / $16.98 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $48.98
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $54.95 / $154.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $16.22 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.38 / $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
$18.20 / $28.84 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $17.78 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $30.90