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Ohio rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,373.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.49 / $660.69 / $875.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.55 / $1,488.40 / $3,856.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.86 / $677.90 / $1,759.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.51 / $1,353.09 / $1,826.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.51 / $1,217.78 / $2,897.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $1,384.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $1,118.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $875.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $789.25 / $1,034.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.03 / $675.04 / $858.90