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Pennsylvania rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

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
$690.95 / $777.00 / $1,129.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.51 / $825.19 / $1,401.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.43 / $873.43 / $873.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.81 / $971.82 / $1,588.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.94 / $1,238.41 / $1,578.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.56 / $855.56 / $855.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.95 / $853.40 / $3,802.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.90 / $1,157.90 / $1,573.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.43 / $873.43 / $873.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.49 / $983.85 / $1,629.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.07 / $751.07 / $1,011.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.92 / $754.82 / $1,011.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.42 / $986.66 / $1,545.80