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Ohio rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.91 / $130.91 / $334.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.52 / $130.91 / $145.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.88 / $268.13 / $694.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.12 / $119.68 / $316.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.88 / $243.75 / $329.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.44 / $219.38 / $521.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $260.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $182.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $142.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $142.17 / $186.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $112.73 / $154.72