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Pennsylvania rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.41 / $166.40 / $339.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.28 / $58.26 / $275.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $84.57 / $112.76
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
$85.86 / $112.76 / $112.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $100.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $88.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.64 / $100.70 / $191.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.54 / $275.18 / $458.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $79.88 / $95.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.57 / $166.40 / $419.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $58.26 / $114.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.40 / $34.79 / $198.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $100.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $135.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.33 / $77.98 / $107.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $95.85 / $109.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.87 / $56.26 / $100.70