go back

Pennsylvania rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.51 / $61.51 / $238.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $66.81 / $77.20
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
$113.81 / $149.46 / $149.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $120.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $105.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $120.17 / $228.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.91 / $104.62 / $112.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.51 / $61.51 / $238.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $68.04 / $105.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $59.30 / $236.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $120.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $140.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.85 / $142.26 / $142.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $142.26 / $142.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.81 / $74.56 / $124.27