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Pennsylvania rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $73.58 / $284.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $77.91 / $100.55
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
$125.46 / $164.77 / $164.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $159.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $139.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $159.47 / $303.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.58 / $123.58 / $123.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $73.58 / $284.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $77.91 / $133.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $217.50 / $314.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $159.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $184.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $78.73 / $156.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.73 / $151.80 / $156.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.08 / $98.67 / $148.61