go back

Ohio rates for HCPCS L5640

Addition To Lower Extremity Knee Disarticulation Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.90 / $431.90 / $1,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.10 / $431.90 / $645.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.56 / $972.97 / $2,520.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.16 / $468.88 / $1,149.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.72 / $884.52 / $1,194.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.94 / $796.07 / $1,893.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $985.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $730.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $572.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.23 / $515.94 / $676.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $441.28 / $611.03