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Ohio rates for HCPCS C1789

Prosthesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.00 / $3,306.43 / $8,843.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $3,306.43 / $3,306.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $792.00 / $2,924.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $20.01 / $20.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.42 / $104.42 / $104.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.03 / $1,632.33 / $2,837.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93