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Pennsylvania rates for HCPCS L5634

Addition To Lower Extremity Symes Type Posterior Opening (Canadian) Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.04 / $163.04 / $630.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.29 / $172.63 / $250.33
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
$278.01 / $365.10 / $365.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $427.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $374.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.75 / $427.99 / $813.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.83 / $273.83 / $273.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.04 / $163.04 / $630.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.29 / $172.63 / $296.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.80 / $583.70 / $843.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $427.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $471.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.46 / $174.46 / $347.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.46 / $347.51 / $407.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.45 / $213.52 / $329.26