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Pennsylvania rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $52.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $114.82
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $61.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $31.62 / $58.88
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $85.11 / $117.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $57.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $74.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $53.70