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Pennsylvania rates for HCPCS L3211

Surgical Boot Each Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $14.97 / $57.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $15.19 / $19.44
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
$31.23 / $32.40 / $32.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $20.86 / $29.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.97 / $14.97 / $57.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.97 / $17.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $22.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $20.86 / $32.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $19.86 / $34.78