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Ohio rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.00 / $377.00 / $921.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.13 / $377.00 / $458.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.99 / $849.30 / $2,200.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.81 / $408.18 / $1,003.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.41 / $772.09 / $1,042.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.86 / $694.88 / $1,653.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $877.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $641.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $419.41 / $419.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.79 / $385.18 / $516.01