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Pennsylvania rates for HCPCS 25040

Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,025.60 / $9,549.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $9,549.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,148.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $616.60 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $10,000.00