go back

Ohio rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $34.00 / $157.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $36.00 / $60.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $32.47 / $61,249.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $22.48 / $28.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.16 / $117.89 / $117.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $44.80 / $64.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.89 / $117.89 / $117.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $29.60 / $43.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $28.77 / $28.77