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Ohio rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.83 / $1,840.83 / $4,593.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.18 / $1,840.83 / $2,535.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,540.05 / $4,147.02 / $10,744.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.80 / $2,060.88 / $4,901.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.52 / $3,770.02 / $5,089.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.77 / $3,411.37 / $8,072.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $4,441.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $1,954.85 / $2,677.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $2,677.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $2,677.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.29 / $2,199.03 / $2,882.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.88 / $1,880.82 / $2,605.35