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Pennsylvania rates for HCPCS 25405

Rpr Nonunion/Malunion Radius/Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $3,964.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.07 / $1,178.07 / $1,178.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.84 / $116.84 / $116.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.95 / $13,306.60 / $39,855.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.90 / $4,620.77 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.07 / $1,178.07 / $1,178.07
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.84 / $116.84 / $116.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.40 / $1,015.40 / $1,292.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00