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Pennsylvania rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $6.20 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.56 / $9.22
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
$10.57 / $13.88 / $13.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.03 / $11.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $13.40 / $25.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $6.20 / $23.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.56 / $9.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $19.10 / $26.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $13.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.03 / $17.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $6.62 / $13.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $13.21 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $7.50 / $12.13