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Pennsylvania rates for HCPCS L2210

Addition To Lower Extremity Dorsiflexion Assist (Plantar Flexion Resist) Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $123.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $37.34 / $76.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.16 / $58.16 / $65.91
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
$59.04 / $77.54 / $77.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $82.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $35.76 / $72.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $82.76 / $157.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.93 / $354.93 / $354.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.35 / $53.32 / $58.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $123.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $40.06 / $132.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $56.00 / $163.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $82.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $35.76 / $87.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.80 / $73.80 / $73.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $73.80 / $78.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $38.84 / $69.91