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Ohio rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.04 / $128.04 / $312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $128.04 / $170.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.23 / $288.45 / $747.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.93 / $146.40 / $340.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.67 / $262.23 / $354.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.45 / $236.01 / $561.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $316.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $218.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $184.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $184.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.24 / $152.96 / $200.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $130.82 / $187.40