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Ohio rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.03 / $159.03 / $414.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $159.03 / $220.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.82 / $358.26 / $928.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.88 / $190.65 / $427.95
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.83 / $276.83 / $276.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.27 / $325.69 / $455.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.70 / $325.69 / $697.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $422.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $259.98
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $203.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $189.98 / $249.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $162.47 / $250.38