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Pennsylvania rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.63 / $48.63 / $188.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $53.80 / $74.48
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
$89.97 / $118.15 / $118.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $118.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $103.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.70 / $118.15 / $224.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.78 / $79.78 / $79.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.63 / $48.63 / $188.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $56.90 / $92.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.20 / $161.10 / $232.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $118.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $140.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.46 / $112.46 / $112.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.46 / $112.46 / $115.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.76 / $58.94 / $106.54