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Ohio rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.56 / $183.56 / $514.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.75 / $183.56 / $314.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.99 / $413.51 / $1,071.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.35 / $210.38 / $488.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.70 / $375.92 / $507.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.35 / $338.33 / $804.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $456.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $177.53 / $310.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $243.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.47 / $219.28 / $287.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.03 / $187.54 / $269.27