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Pennsylvania rates for HCPCS 25126

Exc/Curtg Cyst/Tumor Radius/Ulna W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $611.01 / $888.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.91 / $641.30 / $1,088.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $688.92 / $688.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.25 / $763.58 / $1,235.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.46 / $976.79 / $1,246.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.91 / $668.99 / $2,998.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.30 / $932.30 / $1,238.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $688.92 / $688.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.89 / $774.23 / $1,280.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.30 / $590.30 / $853.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.02 / $592.29 / $853.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.23 / $758.16 / $1,188.29