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Ohio rates for HCPCS A2011

Supra sdrm, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $344.00 / $1,339.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $344.00 / $344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $5.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $59,702.01 / $59,702.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $66.51 / $66.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $210.00 / $210.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $210.00 / $210.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00