go back

Pennsylvania rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $150.69 / $583.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.09 / $173.13 / $207.05
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
$278.80 / $366.14 / $366.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $355.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $437.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $355.41 / $675.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $150.69 / $583.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.09 / $173.13 / $266.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.70 / $462.70 / $700.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $355.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $437.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.77 / $348.50 / $348.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $348.50 / $358.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.90 / $183.43 / $329.04