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Ohio rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,406.86 / $10,406.86 / $26,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,115.26 / $10,406.86 / $14,271.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,013.14 / $23,444.58 / $60,742.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,303.16 / $11,314.46 / $27,707.22
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,116.25 / $18,116.25 / $18,116.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,661.72 / $21,313.25 / $28,772.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,853.61 / $19,181.93 / $45,635.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $24,471.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $12,813.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $12,752.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,088.63 / $10,632.95 / $14,890.75