go back

Ohio rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.61 / $323.61 / $725.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.14 / $323.61 / $467.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.32 / $729.03 / $1,888.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $332.04 / $861.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.79 / $662.75 / $894.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.79 / $596.48 / $1,419.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $689.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $551.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $393.88 / $393.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.14 / $386.57 / $506.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.43 / $330.64 / $420.69