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Ohio rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.49 / $198.49 / $863.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.98 / $198.49 / $249.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.01 / $406.51 / $1,053.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.28 / $216.41 / $480.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.16 / $369.55 / $498.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.21 / $369.55 / $791.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $476.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $168.57 / $230.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $230.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.76 / $215.55 / $282.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $184.37 / $267.83