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Ohio rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $933.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $537.03 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $354.81 / $549.54