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Ohio rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.93 / $205.93 / $611.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.18 / $205.93 / $218.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.01 / $421.74 / $1,092.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.04 / $208.51 / $498.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.55 / $383.40 / $517.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.21 / $345.06 / $820.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $454.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $256.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $215.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $223.63 / $293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.40 / $182.75 / $259.69