go back

Ohio rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.35 / $203.35 / $734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $203.35 / $263.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.50 / $416.45 / $1,078.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.70 / $221.64 / $499.18
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.80 / $321.80 / $321.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.94 / $378.59 / $511.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.08 / $378.59 / $810.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $510.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $302.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $236.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.60 / $220.83 / $289.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $188.88 / $284.58