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Pennsylvania rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $27.24 / $83.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $11.93 / $32.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $20.00
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
$13.80 / $14.32 / $21.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $27.60 / $215.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $27.89 / $108.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $11.23 / $31.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $17.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.74 / $243.74 / $243.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $243.74 / $243.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $8.00 / $12.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $8.65 / $15.14