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Ohio rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $164.73 / $10,306.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $76.65 / $203.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.98 / $132.58 / $217.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $127.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.16 / $75.91 / $110.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $75.91 / $102.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $71.61 / $75.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $117.40
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $97.63 / $175.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $117.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.71 / $94.88 / $106.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $85.21