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Pennsylvania rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.01 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.49 / $617.49 / $617.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,825.80 / $8,811.91 / $10,828.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,534.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.49 / $617.49 / $617.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.35 / $528.36 / $528.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00