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Pennsylvania rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.10 / $159.10 / $615.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $176.03 / $215.88
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
$294.37 / $386.59 / $386.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $345.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $302.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.83 / $345.48 / $656.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.94 / $289.94 / $289.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.10 / $159.10 / $615.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $182.80 / $259.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $471.20 / $680.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $345.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $444.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.39 / $367.96 / $367.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.08 / $192.86 / $337.77