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Ohio rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $33.93 / $86.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $33.93 / $51.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.23 / $76.43 / $198.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.67 / $90.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $69.48 / $97.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.16 / $66.23 / $148.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $80.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $57.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $44.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $40.52 / $53.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $34.65 / $47.14