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Ohio rates for HCPCS Q4192

Restorigin, 1 cc

Facilitymedian $2,455 · 10th–90th $2,455–$2,4550%50%100%$2,455Professionalmedian $2,455 · 10th–90th $0–$2,4550%50%10th$2,455$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $1,819.70 / $2,137.96