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Pennsylvania rates for HCPCS L5726

Addition Exoskeletal Knee-Shin System Single Axis External Joints Fluid Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.35 / $1,062.35 / $4,111.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.07 / $1,124.84 / $1,316.33
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
$1,811.42 / $2,378.91 / $2,378.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,087.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,828.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.87 / $2,087.90 / $3,967.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.35 / $1,062.35 / $4,111.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.07 / $1,124.84 / $1,933.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.20 / $2,847.60 / $4,113.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,087.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $2,878.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.77 / $1,136.77 / $2,264.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.77 / $2,264.28 / $2,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.63 / $1,350.11 / $2,087.90