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Pennsylvania rates for HCPCS L3150

Foot Abduction Rotatation Bar Without Shoes (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.40 / $39.40 / $152.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $43.59 / $55.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.79 / $71.79 / $71.79
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
$72.89 / $95.72 / $95.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $70.48 / $95.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $83.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $95.72 / $181.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.38 / $425.38 / $442.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.40 / $39.40 / $152.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $45.26 / $74.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $45.00 / $188.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $70.48 / $95.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $113.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.44 / $91.11 / $91.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $91.11 / $93.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.63 / $47.75 / $83.63