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Ohio rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.36 / $1,069.36 / $2,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.27 / $1,069.36 / $1,472.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.48 / $2,409.08 / $6,241.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.40 / $1,191.05 / $2,847.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.55 / $2,190.07 / $2,956.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.30 / $1,981.80 / $4,689.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $2,580.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,821.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $1,222.54 / $1,222.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,217.37 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.40 / $1,092.59 / $1,504.11