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Ohio rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.83 / $58.10 / $200.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $16.04 / $34.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $7.48 / $33.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00