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Ohio rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.29 / $64.29 / $208.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.24 / $64.29 / $73.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $131.66 / $341.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $66.73 / $155.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.78 / $119.70 / $162.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.27 / $110.55 / $256.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $145.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $84.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $84.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $70.75 / $92.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.22 / $86.74