go back

Pennsylvania rates for RC 0274

Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $162.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $32,359.37 / $43,651.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $134.90 / $1,412.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $229.09 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $5,370.32