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Ohio rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $181.22 / $560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.99 / $181.22 / $239.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.82 / $371.14 / $961.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.60 / $197.65 / $445.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.05 / $354.27 / $472.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.18 / $337.40 / $722.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $527.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $278.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $218.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $196.81 / $258.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $168.32 / $253.61