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Ohio rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.33 / $33.33 / $438.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $33.33 / $34.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $22.73 / $37.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.03 / $69.03 / $69.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02