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Pennsylvania rates for HCPCS 25272

Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,623.00 / $8,171.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.19 / $568.91 / $828.08
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
$567.49 / $588.91 / $588.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.16 / $643.16 / $643.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.63 / $711.54 / $1,169.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.54 / $911.85 / $1,163.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,342.50 / $7,342.50 / $7,342.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.28 / $752.96 / $769.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,171.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.65 / $679.09 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.00 / $906.40 / $1,156.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.16 / $643.16 / $643.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.84 / $723.13 / $1,196.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.58 / $551.58 / $856.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.48 / $553.38 / $856.81
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
$544.79 / $713.32 / $1,108.94