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Pennsylvania rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.21 / $1,062.21 / $4,110.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.83 / $1,124.70 / $1,527.83
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
$1,811.18 / $2,378.58 / $2,378.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $2,378.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $2,082.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.29 / $2,378.58 / $4,519.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.13 / $1,606.13 / $1,783.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.21 / $1,062.21 / $4,110.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.83 / $1,124.70 / $1,811.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.10 / $3,244.10 / $4,686.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $2,378.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $3,511.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.61 / $1,136.61 / $2,263.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.61 / $2,263.96 / $2,309.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.99 / $1,427.15 / $2,378.58