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Heel, Thomas with Wedge

Ohio rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$38.02

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$34.67 to $47.86
FacilityA hospital or hospital-owned outpatient department$72.44$57.54 to $79.43

How much rates vary

Facilitymedian $72 · 10th to 90th $38 to $115Professionalmedian $38 · 10th to 90th $29 to $74
$20$50$100$200facility $72professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$41.69
Typical High
$93.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$38.90
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$41.69
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$20.42
Typical High
$28.84
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$57.54
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$48.98

Where Ohio sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 28th of 51

$38.02

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.