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Pennsylvania rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $17 · 10th–90th $7–$290%20%10th90th$17Professionalmedian $8 · 10th–90th $6–$150%20%10th90th$8$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
$7.08 / $16.98 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $12.88
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
$15.49 / $15.49 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $16.60