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Pennsylvania rates for HCPCS 25111

Excision Ganglion Wrist Dorsal/Volar Primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,051.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.94 / $377.94 / $377.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.21 / $3,896.51 / $7,139.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.35 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.94 / $377.94 / $377.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.10 / $320.10 / $432.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00