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Pennsylvania rates for HCPCS L1240

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $274.67 / $274.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $44.43 / $58.86
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
$74.30 / $97.58 / $97.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $88.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $77.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $88.28 / $167.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.94 / $33.94 / $451.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.89 / $65.89 / $68.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.58 / $70.58 / $274.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $46.14 / $74.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $59.80 / $173.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $88.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $127.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.76 / $92.88 / $92.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.76 / $92.88 / $104.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $50.44 / $87.98