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Ohio rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $9,333 · 10th–90th $5,129–$15,4880%20%40%10th90th$9,333Professionalmedian $4,467 · 10th–90th $3,715–$7,5860%20%40%10th90th$4,467$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,265.80 / $7,079.46
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $9,332.54 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,370.32 / $11,481.54
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,413.10 / $10,471.29
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,943.28 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,248.07 / $7,585.78
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,000.00 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,456.54 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,265.80 / $6,025.60