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Ohio rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.84 / $149.84 / $513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.35 / $149.84 / $214.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.95 / $306.87 / $795.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $163.19 / $368.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.23 / $278.97 / $376.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.33 / $278.97 / $597.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $376.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $222.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $174.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.34 / $162.72 / $213.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $202.25