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Ohio rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.77 / $519.77 / $1,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.12 / $519.77 / $562.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.69 / $1,064.49 / $2,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.76 / $472.09 / $1,258.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.02 / $967.72 / $1,306.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.02 / $870.95 / $2,072.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $990.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $626.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $626.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.52 / $564.47 / $740.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.82 / $436.35 / $614.28