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Pennsylvania rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.68 / $26.77 / $103.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $27.17 / $34.76
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
$56.29 / $58.41 / $58.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $51.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $26.77 / $103.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $26.77 / $31.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $57.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $35.51 / $62.20