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Pennsylvania rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,747.00 / $7,263.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.79 / $932.46 / $1,349.74
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
$923.05 / $988.80 / $1,675.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.67 / $1,042.67 / $1,042.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.34 / $1,158.00 / $1,899.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.80 / $1,479.04 / $1,884.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $10,680.90 / $10,680.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.13 / $929.13 / $929.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,748.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.79 / $1,025.56 / $4,545.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.09 / $1,291.09 / $1,877.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.67 / $1,042.67 / $1,042.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.34 / $1,175.58 / $1,946.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.55 / $899.55 / $1,154.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.04 / $904.84 / $1,154.56
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
$920.55 / $1,163.32 / $1,749.83