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Pennsylvania rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.25 / $224.25 / $786.50
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
$64,999.35 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $100.10 / $1,530.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.25 / $224.25 / $786.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00