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Ohio rates for HCPCS 90999

Unlisted dialysis procedure, inpatient or outpatient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $3,162.28 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $60,255.96 / $79,432.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75,857.76 / $75,857.76 / $79,432.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81