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Ohio rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.91 / $363.91 / $882.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.47 / $363.91 / $444.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.83 / $819.82 / $2,124.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.39 / $401.80 / $968.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.22 / $745.29 / $1,006.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.44 / $670.76 / $1,595.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $843.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $524.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $410.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.01 / $438.64 / $575.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.88 / $371.81 / $505.56