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Pennsylvania rates for HCPCS 25301

Tenodesis Wrist Extensors Fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.28 / $737.28 / $737.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.87 / $3,748.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.28 / $737.28 / $737.28
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.29 / $633.29 / $692.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00