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Pennsylvania rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.32 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.04 / $953.89 / $1,403.65
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
$959.91 / $1,029.92 / $1,746.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.97 / $1,083.97 / $1,083.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.21 / $1,205.26 / $1,932.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.94 / $1,537.95 / $1,958.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.04 / $1,074.59 / $4,831.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.60 / $1,409.60 / $1,951.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.97 / $1,083.97 / $1,083.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.21 / $1,210.28 / $2,029.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.04 / $935.04 / $1,121.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.22 / $940.74 / $1,121.14
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
$908.04 / $1,197.79 / $1,932.17