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Ohio rates for HCPCS 93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.09 / $674.93 / $719.71
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.23 / $42.23 / $42.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $124.40 / $207.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.77 / $22.73 / $33.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.88 / $102.98 / $172.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.11 / $23.11 / $36.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $125.20 / $192.32
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.10 / $15.98 / $27.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.84 / $108.03 / $163.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $126.80 / $168.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $118.77 / $162.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $214.04 / $326.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $189.12 / $330.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.22 / $25.02 / $45.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.34 / $161.96 / $288.30
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $214.04 / $326.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $189.93 / $315.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.25 / $25.89 / $45.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.37 / $161.96 / $288.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $109.03 / $171.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $174.27 / $298.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.16 / $25.41 / $48.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.24 / $146.09 / $248.10