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Pennsylvania rates for HCPCS 25425

Repair Defect W/Autograft Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.81 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.18 / $976.91 / $1,416.82
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
$968.92 / $1,040.86 / $1,763.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.01 / $1,094.01 / $1,094.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.57 / $1,234.01 / $2,004.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.25 / $1,551.45 / $1,976.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.81 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.18 / $1,104.99 / $4,773.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.20 / $1,623.20 / $1,971.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.01 / $1,094.01 / $1,094.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.96 / $1,245.13 / $2,059.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.56 / $944.56 / $1,390.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.41 / $950.36 / $1,390.87
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
$967.27 / $1,217.31 / $1,920.30