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Ohio rates for HCPCS 87210

Smr Prim Src Wet Mount Nfct Agt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $17.94 / $72.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.66 / $9.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $6.40 / $10.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $5.54 / $8.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $6.11 / $7.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.83 / $9.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $5.98 / $12.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.26 / $8.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $14.89 / $53.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.70 / $7.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.80 / $6.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.98 / $6.98