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Ohio rates for HCPCS L5830

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic/ Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.19 / $1,171.19 / $3,134.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.75 / $1,171.19 / $1,684.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.29 / $2,638.46 / $6,836.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,367.87 / $3,118.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,798.95 / $2,398.60 / $3,238.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.09 / $2,158.73 / $5,135.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $2,979.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,994.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,654.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.50 / $1,399.06 / $1,834.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.75 / $1,196.63 / $1,750.88