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Ohio rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $78.98 / $276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.13 / $78.98 / $83.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $110.30 / $110.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.09 / $161.77 / $419.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $76.87 / $191.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.99 / $147.06 / $198.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.59 / $132.35 / $314.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $162.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $122.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $92.98 / $92.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $85.78 / $112.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $69.06 / $105.27