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Ohio rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.20 / $851.20 / $1,628.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.22 / $851.20 / $1,209.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.91 / $1,917.58 / $4,968.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.26 / $873.37 / $2,266.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.47 / $1,743.25 / $2,353.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.10 / $1,568.93 / $3,732.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,866.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $1,143.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $895.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.50 / $1,016.81 / $1,333.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.79 / $869.69 / $1,263.36