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Ohio rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $11.11 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $11.11 / $12.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $22.75 / $58.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.27 / $26.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $20.68 / $27.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $18.73 / $44.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $24.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $17.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $9.11 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.74 / $13.87