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Pennsylvania rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.75 / $743.32 / $1,092.44
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
$747.09 / $797.11 / $1,352.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.78 / $844.78 / $844.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.13 / $936.93 / $1,532.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.16 / $1,198.63 / $1,527.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.58 / $823.69 / $3,674.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.70 / $1,129.70 / $1,518.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.78 / $844.78 / $844.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.85 / $953.69 / $1,575.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.23 / $726.23 / $996.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.81 / $729.89 / $996.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $6,885.00 / $41,413.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.71 / $983.79 / $1,475.87