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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
$91.20 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $67.61 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $158.49
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $128.82 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $125.89