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Pennsylvania rates for HCPCS 25001

Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,434.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.47 / $405.47 / $405.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,422.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.47 / $405.47 / $405.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.57 / $341.21 / $341.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00