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Heel, Thomas with Wedge

Pennsylvania rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$33.88

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $85.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$28.84 to $43.65
FacilityA hospital or hospital-owned outpatient department$85.11$28.18 to $138

How much rates vary

Facilitymedian $85 · 10th to 90th $28 to $331Professionalmedian $34 · 10th to 90th $28 to $69
$100$1K$10Kfacility $85professional $34

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$48.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$131.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$70.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$109.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$57.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$245.47
Typical High
$398.11
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$70.79

Where Pennsylvania sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 46th of 51

$33.88

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.