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Pennsylvania rates for HCPCS 25415

Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.96 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.86 / $993.55 / $1,536.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.26 / $1,046.15 / $1,772.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.84 / $1,098.84 / $1,098.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.78 / $1,228.91 / $2,008.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.26 / $1,558.12 / $1,985.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.96 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.67 / $1,072.04 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.50 / $1,393.50 / $1,979.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.84 / $1,098.84 / $1,098.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.78 / $1,248.38 / $2,058.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.85 / $948.85 / $1,209.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.56 / $954.67 / $1,209.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.90 / $1,224.34 / $1,933.85