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Ohio rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.06 / $2,827.06 / $6,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,651.14 / $2,827.06 / $4,682.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,436.63 / $6,368.79 / $16,500.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.72 / $3,171.15 / $7,526.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,054.92 / $5,789.81 / $7,816.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,763.38 / $5,210.83 / $12,397.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $6,748.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $4,814.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $3,612.50 / $3,745.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.12 / $3,377.17 / $4,427.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.65 / $2,888.47 / $4,008.86