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Pennsylvania rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $52.48