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Ohio rates for HCPCS L5816

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

Facilitymedian $1,096 · 10th–90th $661$1,8200%20%40%10th90th$1,096Professionalmedian $537 · 10th–90th $447$1,0000%20%40%10th90th$537$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $512.86 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,096.48 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,348.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $870.96 / $1,230.27
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $933.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $660.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $616.60 / $891.25
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,174.90 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $776.25