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Ohio rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $54 · 10th–90th $28$910%20%40%10th90th$54Professionalmedian $27 · 10th–90th $22$470%20%40%10th90th$27$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $56.23 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $69.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $63.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $36.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $64.57
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $42.66 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $35.48