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Ohio rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.71 / $151.71 / $375.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $151.71 / $257.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.75 / $341.77 / $885.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $183.73 / $407.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.37 / $310.70 / $419.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.96 / $279.63 / $665.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $386.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $251.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $197.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $181.22 / $237.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.34 / $155.00 / $235.11