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Pennsylvania rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.52 / $178.52 / $690.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.66 / $197.51 / $264.47
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
$330.30 / $433.78 / $433.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $400.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $466.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.29 / $400.31 / $760.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.13 / $309.13 / $325.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.52 / $178.52 / $690.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.65 / $206.85 / $264.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.10 / $546.00 / $788.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $400.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $466.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.14 / $412.88 / $412.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.14 / $412.88 / $412.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $218.79 / $379.00