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Ohio rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.51 / $202.51 / $577.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $202.51 / $224.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.04 / $414.74 / $1,074.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.93 / $208.13 / $490.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.61 / $377.04 / $509.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.08 / $339.34 / $807.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $449.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $313.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $207.63 / $243.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.95 / $219.93 / $288.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $178.99 / $267.14