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Ohio rates for HCPCS A4617

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.65 / $3.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $4.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.21 / $5.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.33 / $6.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.55 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.59
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.10 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.09 / $3.05