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Pennsylvania rates for HCPCS 25491

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $794.33 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,445.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,548.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $2,290.87
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,202.26 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,000.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $39,810.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,445.44