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Ohio rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.36 / $306.36 / $876.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.86 / $306.36 / $382.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.59 / $627.41 / $1,625.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.24 / $310.18 / $741.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.79 / $570.38 / $770.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.75 / $513.34 / $1,221.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $682.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $474.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $379.04 / $379.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.95 / $332.68 / $436.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.70 / $272.67 / $390.75