go back

Pennsylvania rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.54 / $652.54 / $2,525.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.25 / $714.43 / $1,079.01
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
$1,112.66 / $1,461.23 / $1,461.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,854.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $666.53 / $1,624.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.53 / $1,854.92 / $3,524.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.70 / $986.70 / $986.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.54 / $652.54 / $2,525.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.75 / $716.52 / $1,169.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.40 / $2,529.90 / $3,654.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,854.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $666.53 / $2,241.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.25 / $698.25 / $1,390.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.25 / $1,390.82 / $1,765.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.45 / $878.72 / $1,317.74