go back

Pennsylvania rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.44 / $3,066.00 / $7,882.67
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $713.47 / $713.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,302.70 / $8,016.28 / $15,291.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,494.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $713.47 / $713.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.12 / $607.12 / $655.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $4,476.00 / $10,443.12