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Ohio rates for HCPCS A6509

Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $112.23 / $225.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.77 / $314.77 / $384.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.07 / $267.07 / $267.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00