go back

Ohio rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.27 / $23.27 / $61.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $23.27 / $36.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.75 / $52.43 / $135.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $27.90 / $62.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $47.66 / $64.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $47.66 / $102.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $62.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $38.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.77 / $29.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $27.79 / $36.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.77 / $36.64