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Pennsylvania rates for HCPCS A6508

Compression burn garment, foot to thigh length, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $67.61