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Pennsylvania rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.82 / $455.22 / $738.56
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
$456.16 / $480.00 / $816.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.42 / $517.42 / $517.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.85 / $563.82 / $911.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.44 / $730.42 / $935.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.49 / $1,396.49 / $7,644.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.56 / $451.86 / $506.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.17 / $501.68 / $1,820.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.30 / $664.30 / $935.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.42 / $517.42 / $517.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.85 / $567.25 / $930.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.85 / $441.85 / $614.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.84 / $442.40 / $614.36
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
$429.47 / $569.57 / $890.28