go back

Pennsylvania rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $10.98 / $42.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.63 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $18.44 / $20.90
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
$18.72 / $24.59 / $24.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $27.06 / $51.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $18.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $10.98 / $42.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $12.06 / $112.32
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,970.00 / $18,970.00 / $18,970.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $33.79 / $53.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $27.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $17.01 / $23.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $23.40 / $25.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $31.12 / $37.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $13.86 / $21.49