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Ohio rates for HCPCS C1748

Endoscope, single-use (i.e. disposable), upper GI, imaging/illumination device (insertable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $5,208.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,624.34 / $121,498.80 / $222,747.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,998.95 / $104,998.95 / $127,498.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66