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Ohio rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $73.56 / $173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.73 / $73.56 / $86.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $165.70 / $429.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $73.48 / $195.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.83 / $150.63 / $203.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.92 / $135.58 / $322.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $154.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $124.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $97.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.89 / $87.85 / $115.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $75.15 / $95.62