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Pennsylvania rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,568.13 / $15,568.13 / $60,248.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,568.13 / $18,002.73 / $20,957.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,804.37 / $37,828.21 / $37,828.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,235.19 / $39,235.19 / $45,241.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $44,937.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,096.37 / $39,235.19 / $74,546.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,568.13 / $15,568.13 / $60,248.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,568.13 / $18,218.03 / $27,559.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,558.10 / $77,300.30 / $77,300.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,235.19 / $39,235.19 / $45,241.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $45,387.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,005.46 / $36,005.46 / $36,436.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,005.46 / $36,005.46 / $37,344.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,218.03 / $21,530.40 / $39,235.19