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Pennsylvania rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $36.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.86 / $16.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $17.72 / $17.72
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
$15.87 / $20.85 / $20.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $25.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $21.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $25.19 / $47.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $14.08 / $15.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $36.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $10.22 / $78.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $32.79 / $49.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $25.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $21.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $19.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $19.84 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $12.46 / $18.21