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Ohio rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $57.54 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $245.47 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $128.82 / $398.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $75.86