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Pennsylvania rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $37.39 / $144.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $41.47 / $54.83
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
$69.18 / $90.85 / $90.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $90.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $79.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.58 / $90.85 / $172.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $62.48 / $68.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $37.39 / $144.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.53 / $43.75 / $58.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $44.20 / $147.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $90.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $108.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.49 / $86.47 / $86.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.49 / $86.47 / $88.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.43 / $45.32 / $81.94