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Ohio rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.84 / $1,006.84 / $2,921.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.56 / $1,006.84 / $1,084.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.20 / $2,062.01 / $5,342.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.47 / $1,016.89 / $2,436.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.91 / $1,874.55 / $2,530.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.75 / $1,753.96 / $4,013.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $2,283.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,549.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,212.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.46 / $906.02 / $1,293.20