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Pennsylvania rates for HCPCS L7499

Upper Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
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
$2,682.23 / $2,682.23 / $2,682.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,858.60 / $10,780.70 / $11,757.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23