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Pennsylvania rates for HCPCS 25105

Arthrotomy, wrist joint; with synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.44 / $562.44 / $562.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.95 / $4,622.95 / $4,622.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,534.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.44 / $562.44 / $562.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.88 / $480.88 / $626.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00