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Ohio rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.69 / $2.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.64 / $651.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.50 / $2.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.93