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Ohio rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.28 / $51.32 / $66.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $105.09 / $272.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $55.94 / $124.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $95.54 / $128.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $95.54 / $204.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $125.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $61.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.52 / $55.72 / $73.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $47.66 / $69.23