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Ohio rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.54 / $123.54 / $373.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $123.54 / $131.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.97 / $253.00 / $655.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $112.21 / $299.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.06 / $230.00 / $310.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $207.00 / $492.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $148.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $116.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $92.18 / $184.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $103.72 / $146.00