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Ohio rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.02 / $80.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.02 / $21.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $25.01 / $34.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $81.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $25.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $25.02 / $25.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $26.66