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Pennsylvania rates for HCPCS L3350

Heel Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $11.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.97 / $16.26
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
$20.51 / $26.94 / $26.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.45 / $18.45 / $26.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $23.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.78 / $26.94 / $51.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $101.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $20.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $42.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.92 / $16.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $38.40 / $53.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.45 / $18.45 / $26.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $31.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $25.64 / $25.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $25.64 / $26.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $13.45 / $24.29