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Ohio rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,189.19 / $2,189.19 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.71 / $2,189.19 / $3,014.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,209.96 / $4,931.80 / $12,777.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.23 / $2,515.77 / $5,828.48
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,810.93 / $3,810.93 / $3,810.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.59 / $4,483.45 / $6,052.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,930.03 / $4,056.97 / $9,599.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $5,282.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,995.72
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,502.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.94 / $2,615.17 / $3,428.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.16 / $2,236.75 / $3,079.07