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Ohio rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.60 / $237.60 / $836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.95 / $237.60 / $333.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.47 / $349.47 / $349.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.39 / $486.61 / $1,260.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.80 / $248.17 / $589.82
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.01 / $376.01 / $376.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.78 / $442.37 / $606.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.54 / $442.37 / $947.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $574.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $367.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $345.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.16 / $328.84 / $431.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $220.69 / $320.58