go back

Ohio rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.21 / $28.21 / $81.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $28.21 / $43.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $63.55 / $164.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.81 / $76.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.33 / $57.77 / $77.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $57.77 / $123.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $75.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $47.73
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $37.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $33.69 / $44.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $44.41