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Ohio rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $212.37 / $555.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.99 / $212.37 / $293.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.41 / $478.43 / $1,239.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.18 / $254.61 / $573.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.20 / $434.94 / $587.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $434.94 / $931.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $577.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $347.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $271.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $253.69 / $332.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $216.98 / $334.37