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Replacement High Roll Cuff

Pennsylvania rates for HCPCS L4060

Replace high roll cuff

Rates data updated July 2026.

How much does Replacement High Roll Cuff cost?

$174

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $490 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 8 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$174$162 to $219
FacilityA hospital or hospital-owned outpatient department$490$148 to $575

How much rates vary

Facilitymedian $490 · 10th to 90th $148 to $1,175Professionalmedian $174 · 10th to 90th $148 to $309
$200$1K$5K$20Kfacility $490professional $174

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
$147.91
Median
$147.91
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$302.00
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
$199.53
Median
$295.12
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$691.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$575.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$309.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$812.83
Typical High
$1,380.38
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$363.08

Where Pennsylvania sits

The same service costs 4.7 times more in Hawaii 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

$174

HI $692DC $148

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.