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Pennsylvania rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $57.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $16.87 / $24.47
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
$27.30 / $35.85 / $35.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $23.10 / $42.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $36.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $42.05 / $79.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $24.21 / $26.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $57.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $16.95 / $56.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $19.80 / $82.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $23.10 / $42.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $41.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.63 / $34.11 / $34.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $34.11 / $40.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $18.32 / $32.33