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Removable Medial Brim Suspension, Below-Knee

Pennsylvania rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Rates data updated July 2026.

How much does Removable Medial Brim Suspension, Below-Knee cost?

$224

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $550 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$200 to $251
FacilityA hospital or hospital-owned outpatient department$550$204 to $955

How much rates vary

Facilitymedian $550 · 10th to 90th $204 to $1,622Professionalmedian $219 · 10th to 90th $155 to $372
$200$1K$5K$20Kfacility $550professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$281.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$691.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$467.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$776.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$363.08
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,096.48
Typical High
$1,778.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$436.52

Where Pennsylvania sits

The same service costs 2.9 times more in South Dakota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 29th of 51

$224

SD $457NE $158

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.