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Ohio rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.10 / $1,282.10 / $3,379.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.91 / $1,282.10 / $1,363.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.44 / $2,625.76 / $6,803.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.48 / $1,226.58 / $3,103.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.86 / $2,387.05 / $3,222.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.58 / $2,148.35 / $5,111.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $2,684.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,972.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $1,544.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.75 / $1,120.97 / $1,524.80