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Ohio rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.51 / $255.51 / $682.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.04 / $255.51 / $353.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.46 / $392.46 / $392.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.36 / $575.61 / $1,491.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.28 / $306.33 / $689.95
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.79 / $444.79 / $444.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.46 / $523.28 / $706.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.13 / $523.28 / $1,120.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $657.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $432.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $338.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.98 / $305.22 / $400.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $261.06 / $402.28