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Ohio rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.25 / $1,500.00 / $1,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $1,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $261.52 / $399.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $59,499.41 / $61,249.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00