go back

Pennsylvania rates for HCPCS 97761

Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes

Professionalmedian $29 · 10th–90th $20–$520%10%10th90th$29$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $50.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $64.57
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $43.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $89.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $39.81 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $57.54