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Ohio rates for HCPCS L5530

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.17 / $1,223.17 / $2,619.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.31 / $1,223.17 / $1,492.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.23 / $2,755.56 / $7,139.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.10 / $1,282.47 / $3,256.56
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.29 / $2,129.29 / $2,129.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.59 / $2,505.05 / $3,381.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.28 / $2,254.55 / $5,363.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $2,671.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $1,654.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,295.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,295.39 / $1,295.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.16 / $1,249.74 / $1,593.75