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Ohio rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.76 / $47.76 / $139.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.06 / $47.76 / $51.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.50 / $97.81 / $253.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.39 / $45.68 / $115.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.80 / $88.92 / $120.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $80.03 / $190.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $102.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $69.67
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $54.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $51.86 / $67.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $41.76 / $57.29