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Pennsylvania rates for HCPCS A5512

For Diabetics Only Multiple Density Insert Direct Formed Molded To Foot After External Heat Source Of 230 Degrees Fahrenheit Or Higher Total Contact With Patients Foot Including Arch Base Layer Minimum Of 1/4 Inch Material Of Shore A 35 Durometer Or 3/16 Inch Material Of Shore A 40 Durometer (Or Higher) Prefabricated Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.77 / $17.77 / $28.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $17.77 / $31.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $36.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.59 / $36.24 / $36.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $17.71 / $29.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $36.24 / $68.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $24.92 / $25.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.77 / $17.77 / $28.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $22.21 / $34.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $15.90 / $71.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $17.71 / $42.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.20 / $34.49 / $34.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $34.49 / $34.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $19.57 / $31.66