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Pennsylvania rates for HCPCS 29515

Application of short leg splint (calf to foot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.42 / $345.74 / $718.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $71.41 / $145.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$183.83 / $183.83 / $183.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.43 / $94.58 / $113.09
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.03 / $8,393.52 / $16,144.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $104.30 / $139.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.47 / $156.49 / $209.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $84.93 / $84.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $75.67 / $128.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $118.20 / $152.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.90 / $375.37 / $647.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.14 / $76.22 / $90.72
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.88 / $7,563.53 / $16,144.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.52 / $331.32 / $834.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.64 / $75.00 / $137.97
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$183.83 / $183.83 / $183.83
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.58 / $709.47 / $5,510.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $79.90 / $147.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $84.93 / $84.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.75 / $76.40 / $129.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.64 / $48.03 / $69.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $61.75 / $74.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $83.66 / $130.56