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Pennsylvania rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $34.79 / $134.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $34.79 / $41.53
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
$59.33 / $77.92 / $77.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $80.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $71.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.22 / $81.76 / $155.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $52.62 / $52.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $34.79 / $134.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $36.34 / $63.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $111.50 / $161.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $80.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $80.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.22 / $37.22 / $74.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $74.16 / $77.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $42.11 / $70.28