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Ohio rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.42 / $1,251.42 / $5,494.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.18 / $1,251.42 / $1,433.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.79 / $2,562.90 / $6,640.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.59 / $1,250.07 / $3,028.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.43 / $2,329.91 / $3,145.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.65 / $2,108.29 / $4,988.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,745.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,937.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $1,300.55 / $1,300.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.12 / $1,582.80 / $2,075.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.91 / $1,106.10 / $1,512.66