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Pennsylvania rates for HCPCS 25110

Excision, lesion of tendon sheath, forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
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
$400.63 / $400.63 / $400.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.28 / $1,885.28 / $1,885.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.63 / $400.63 / $400.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.36 / $342.36 / $468.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00