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Ohio rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.78 / $660.78 / $1,433.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.66 / $660.78 / $933.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.72 / $1,488.60 / $3,856.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.17 / $682.97 / $1,759.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.77 / $1,353.27 / $1,826.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.63 / $1,217.94 / $2,897.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $1,453.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $897.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $702.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.08 / $789.36 / $1,034.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.09 / $675.13 / $864.14