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Ohio rates for HCPCS L1852

Knee Orthosis (Ko) Double Upright Thigh And Calfwith Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.66 / $333.66 / $714.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.66 / $417.09 / $586.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.69 / $505.69 / $505.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.73 / $687.34 / $1,780.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.95 / $733.69 / $1,196.34
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.83 / $718.83 / $718.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.64 / $624.85 / $852.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.40 / $613.87 / $1,337.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.29 / $647.80 / $794.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $472.90 / $713.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.29 / $647.80 / $647.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $621.29 / $647.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.66 / $707.66 / $927.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.16 / $487.81 / $731.45