go back

Pennsylvania rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $25.75 / $99.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $28.49 / $32.72
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
$47.64 / $62.57 / $62.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $58.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $23.30 / $50.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $58.22 / $110.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $42.25 / $46.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $25.75 / $99.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $29.55 / $97.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $39.40 / $114.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $58.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $23.30 / $60.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.74 / $59.55 / $59.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.74 / $59.55 / $59.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $31.21 / $52.02