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Pennsylvania rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.27 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.27 / $2.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.77 / $3.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.43 / $12.43 / $25.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.27 / $2.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.27 / $2.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.20 / $4.32