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Pennsylvania rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.81 / $2,492.81 / $9,647.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.48 / $2,639.45 / $3,519.27
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
$4,250.50 / $5,582.09 / $5,582.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $5,582.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $4,887.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,135.52 / $5,582.09 / $10,605.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,769.31 / $3,769.31 / $3,769.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.81 / $2,492.81 / $9,647.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.48 / $2,737.21 / $4,536.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,921.10 / $7,959.30 / $10,997.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $5,582.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $7,323.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.96 / $5,313.12 / $5,313.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,990.96 / $5,313.12 / $6,012.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.42 / $3,087.76 / $4,918.96