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Pennsylvania rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,627.00 / $8,104.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.49 / $835.49 / $835.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $10,680.90 / $10,680.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.49 / $835.49 / $835.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.92 / $725.05 / $725.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,198.00 / $6,000.00