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Ohio rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.17 / $348.17 / $856.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.71 / $348.17 / $492.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.55 / $784.36 / $2,032.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.23 / $407.50 / $926.96
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.09 / $606.09 / $606.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.88 / $713.05 / $962.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.48 / $641.75 / $1,526.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $887.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $592.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $472.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.48 / $415.91 / $545.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.15 / $355.73 / $521.61