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Pennsylvania rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Facilitymedian $21,878 · 10th–90th $9,120–$35,4810%20%10th90th$21,878Professionalmedian $10,471 · 10th–90th $8,913–$18,1970%20%10th90th$10,471$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $35,481.34 / $35,481.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,232.93 / $17,782.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $27,542.29 / $39,810.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,791.08 / $20,892.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,471.29 / $15,848.93
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $29,512.09 / $40,738.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $19,498.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $25,703.96 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $11,748.98 / $20,892.96