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Ohio rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.74 / $21.74 / $195.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $58.13 / $422.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $28.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.92 / $34.92 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.92 / $34.92 / $34.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $34.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00