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Ohio rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.72 / $121.72 / $280.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $121.72 / $160.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.06 / $274.20 / $710.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.89 / $126.97 / $324.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.69 / $249.27 / $336.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.03 / $224.34 / $533.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $275.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $121.52 / $207.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $166.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $166.47 / $166.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.75 / $145.40 / $190.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.91 / $124.36 / $162.52