go back

Pennsylvania rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.97 / $460.97 / $1,783.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.19 / $515.96 / $627.26
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
$852.89 / $1,120.08 / $1,120.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $1,325.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,163.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.43 / $1,334.16 / $2,534.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.34 / $756.34 / $840.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.97 / $460.97 / $1,783.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.19 / $522.11 / $852.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.60 / $1,736.90 / $2,628.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $1,325.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,163.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.81 / $1,066.10 / $1,066.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.81 / $1,066.10 / $1,269.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.87 / $496.34 / $578.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.75 / $558.79 / $978.64