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Ohio rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.48 / $344.48 / $899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.75 / $344.48 / $590.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.46 / $776.04 / $2,010.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.16 / $412.99 / $931.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.12 / $705.49 / $952.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.84 / $705.49 / $1,510.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $915.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $573.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $448.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.27 / $411.51 / $539.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $351.96 / $542.36