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Ohio rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.13 / $1,602.13 / $3,083.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.93 / $1,602.13 / $2,158.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,081.00 / $3,609.27 / $9,351.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.35 / $1,643.87 / $4,265.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.75 / $3,281.15 / $4,429.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.75 / $2,953.04 / $7,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $3,461.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,728.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,283.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.28 / $1,636.93 / $2,082.76