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Ohio rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.44 / $210.44 / $403.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.02 / $210.44 / $250.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.69 / $474.08 / $1,228.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.95 / $217.64 / $560.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.22 / $430.98 / $581.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.14 / $387.88 / $922.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $458.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $358.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $297.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.82 / $251.38 / $329.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.34 / $215.01 / $275.29