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Ohio rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.85 / $56.85 / $416.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $56.85 / $82.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $116.42 / $301.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $61.95 / $139.69
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $89.96 / $89.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.38 / $105.84 / $142.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.51 / $105.84 / $226.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $146.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $49.98 / $87.46
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $68.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $68.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.89 / $61.73 / $80.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.95 / $119.95 / $141.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $52.33 / $79.45