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Pennsylvania rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.93 / $45.80 / $177.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $46.47 / $61.87
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
$96.60 / $100.24 / $100.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $74.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.40 / $142.40 / $142.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $45.80 / $177.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.24 / $46.47 / $92.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $117.60 / $117.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $98.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $58.49 / $107.69