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Ohio rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.94 / $1,978.94 / $5,027.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.99 / $1,978.94 / $2,796.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,805.64 / $4,458.16 / $11,550.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.98 / $2,172.63 / $5,268.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.22 / $3,457.16 / $5,268.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.99 / $3,272.70 / $6,545.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,656.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $3,214.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.95 / $2,021.93 / $2,780.96