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Pennsylvania rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $41.22 / $159.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $41.82 / $53.52
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
$57.56 / $59.73 / $59.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $67.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.22 / $41.22 / $159.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $41.22 / $48.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.20 / $99.20 / $99.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $114.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.10 / $54.67 / $96.48