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Ohio rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.41 / $302.41 / $907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.85 / $302.41 / $377.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.69 / $619.34 / $1,604.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.67 / $307.63 / $739.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.43 / $563.04 / $760.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.98 / $506.74 / $1,205.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $672.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $400.87
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $313.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.85 / $328.42 / $430.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.26 / $267.30 / $377.01