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Ohio rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.46 / $166.46 / $378.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $166.46 / $229.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.11 / $375.00 / $971.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $187.23 / $443.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.68 / $340.91 / $460.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.77 / $308.45 / $729.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $401.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $281.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $220.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.61 / $198.84 / $260.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.38 / $170.07 / $235.61