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Pennsylvania rates for HCPCS 25135

Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,770.89 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.35 / $569.79 / $889.03
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
$570.04 / $599.05 / $1,017.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.51 / $646.51 / $646.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.66 / $696.88 / $1,141.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.30 / $917.04 / $1,169.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.99 / $574.99 / $574.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.60 / $647.63 / $2,808.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.10 / $686.10 / $1,159.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.51 / $646.51 / $646.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.66 / $701.06 / $1,153.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.65 / $551.65 / $591.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.94 / $553.04 / $591.50
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
$522.87 / $674.86 / $1,053.16