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Ohio rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.58 / $1,037.58 / $3,003.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.13 / $1,037.58 / $1,342.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.96 / $2,124.98 / $5,505.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.40 / $1,130.88 / $2,549.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.85 / $1,931.80 / $2,621.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.67 / $1,931.80 / $4,136.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $2,454.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,542.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,207.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.50 / $1,126.81 / $1,477.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $963.76 / $1,400.02