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Ohio rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.45 / $439.45 / $1,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.18 / $439.45 / $599.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.99 / $674.99 / $674.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.09 / $989.99 / $2,564.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.91 / $518.34 / $1,169.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.25 / $899.99 / $1,214.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.99 / $809.99 / $1,927.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $1,099.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $425.01 / $601.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $582.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.80 / $524.97 / $688.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.33 / $449.00 / $663.45