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Ohio rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.25 / $102.00 / $102.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $87.66 / $87.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.26 / $107.26 / $111.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $125.17