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Pennsylvania rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.88 / $3,066.00 / $6,459.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.67 / $362.12 / $1,527.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.63 / $270.10 / $605.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.79 / $491.97 / $616.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.37 / $401.37 / $401.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.97 / $429.54 / $703.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.86 / $566.65 / $726.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.93 / $3,753.02 / $7,173.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.01 / $380.89 / $449.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $3,525.60 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $444.71 / $1,454.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.80 / $437.80 / $721.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.37 / $401.37 / $401.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.09 / $437.05 / $708.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.38 / $340.38 / $397.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.47 / $340.38 / $397.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $429.21 / $664.21