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Ohio rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.24 / $574.24 / $1,308.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.59 / $574.24 / $671.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.07 / $929.07 / $929.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.30 / $1,293.64 / $3,351.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.17 / $589.20 / $1,528.85
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.63 / $999.63 / $999.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.43 / $1,176.04 / $1,587.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.43 / $1,058.44 / $2,518.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $1,200.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $886.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $694.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.80 / $874.23 / $1,146.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.09 / $586.72 / $812.41