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Pennsylvania rates for HCPCS 23525

Closed Tx Sternoclavicular Dislc W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.39 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.36 / $381.32 / $524.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.96 / $424.39 / $694.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.65 / $628.65 / $628.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.16 / $437.44 / $736.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.15 / $662.82 / $848.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.76 / $238.76 / $238.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.43 / $400.37 / $1,541.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.60 / $381.60 / $835.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.65 / $628.65 / $628.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.90 / $444.63 / $745.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.77 / $360.13 / $393.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.43 / $385.51 / $421.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.64 / $434.49 / $715.91