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Pennsylvania rates for HCPCS 25118

Synovectomy, extensor tendon sheath, wrist, single compartment;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.04 / $2,747.00 / $7,481.87
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
$443.77 / $443.77 / $443.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.36 / $3,380.47 / $5,409.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.04 / $2,675.00 / $7,799.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.77 / $443.77 / $443.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.51 / $377.51 / $451.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00