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Ohio rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.83 / $337.83 / $779.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.39 / $337.83 / $428.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.90 / $518.90 / $546.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.66 / $761.06 / $1,971.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.51 / $378.01 / $899.43
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.09 / $588.09 / $588.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.71 / $691.87 / $934.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.72 / $622.67 / $1,481.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $766.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $575.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $459.90 / $459.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.04 / $514.31 / $674.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.11 / $345.16 / $466.21