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Pennsylvania rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $40.02 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $46.83 / $63.23
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
$74.04 / $97.24 / $97.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $107.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $94.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.95 / $107.55 / $204.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.93 / $72.93 / $72.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $40.02 / $154.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $46.82 / $83.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $47.20 / $211.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $107.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $114.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.23 / $92.55 / $92.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $92.55 / $102.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.57 / $48.51 / $84.96