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Pennsylvania rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $40.78 / $157.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $43.18 / $52.85
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
$69.54 / $91.32 / $91.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $94.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $82.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.84 / $94.39 / $179.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $40.78 / $157.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $44.78 / $74.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.80 / $128.69 / $186.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $94.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $107.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.14 / $63.14 / $86.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $86.92 / $89.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $54.79 / $82.34