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Pennsylvania rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.57 / $136.57 / $528.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $149.96 / $203.88
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
$232.86 / $305.82 / $305.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $386.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $357.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.14 / $407.76 / $774.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.37 / $229.37 / $229.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.57 / $136.57 / $528.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $149.96 / $248.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.20 / $556.10 / $803.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $386.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $360.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.13 / $146.13 / $291.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.13 / $291.08 / $388.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $183.49 / $275.80