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Ohio rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.08 / $53.08 / $178.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $53.08 / $67.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $74.12 / $90.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.79 / $108.70 / $281.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.19 / $55.41 / $129.84
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.93 / $98.82 / $133.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $88.94 / $211.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $123.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $62.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $57.60 / $75.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $47.76 / $71.61