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Ohio rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $14.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $19.09 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.02 / $23.02 / $39.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $23.02 / $23.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $20.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $16.70 / $16.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $22.34