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Pennsylvania rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $549.34 / $800.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $52.55 / $117.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.03 / $83.16 / $83.16
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
$74.50 / $97.83 / $97.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $112.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $52.69 / $98.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.36 / $112.35 / $213.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.77 / $452.15 / $571.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $76.44 / $78.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.81 / $549.34 / $830.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $50.55 / $117.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $49.30 / $221.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $112.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $52.69 / $113.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.65 / $93.12 / $93.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $93.12 / $106.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $49.30 / $88.22