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Ohio rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.95 / $310.95 / $811.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.08 / $310.95 / $430.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.63 / $477.63 / $477.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.99 / $700.52 / $1,814.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.67 / $372.80 / $840.62
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.30 / $541.30 / $541.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.63 / $636.84 / $859.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.95 / $636.84 / $1,363.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $831.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $508.37
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $397.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $397.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.16 / $371.47 / $486.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.70 / $489.58