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Pennsylvania rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.91 / $18.67 / $72.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $18.94 / $24.24
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
$39.22 / $40.70 / $40.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $18.67 / $72.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.75 / $25.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $40.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $24.77 / $43.63