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Pennsylvania rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Facilitymedian $69 · 10th–90th $45$1780%20%10th90th$69Professionalmedian $51 · 10th–90th $43$910%20%40%10th90th$51$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $83.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $47.86 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $67.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $50.12 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $107.15