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Ohio rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.02 / $65.02 / $192.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $65.02 / $74.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.68 / $133.16 / $345.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $64.14 / $159.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.80 / $121.06 / $163.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $109.52 / $259.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $142.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $86.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $67.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $69.58 / $91.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $59.86 / $81.28