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Pennsylvania rates for HCPCS L2415

Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.78 / $58.78 / $227.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $65.04 / $90.05
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
$108.76 / $142.83 / $142.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $142.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $59.64 / $125.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.40 / $142.83 / $271.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $107.12 / $107.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.78 / $58.78 / $227.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $68.79 / $227.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.10 / $194.80 / $281.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $142.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $59.64 / $169.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.10 / $135.94 / $135.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.10 / $135.94 / $139.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $71.97 / $124.79