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Pennsylvania rates for HCPCS 25492

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.57 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.22 / $919.51 / $1,334.89
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
$912.89 / $976.52 / $1,655.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.52 / $1,031.52 / $1,031.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.48 / $1,144.60 / $1,874.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.24 / $1,463.19 / $1,864.15
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
$818.22 / $1,019.54 / $4,496.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.50 / $1,221.50 / $1,856.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.52 / $1,031.52 / $1,031.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.48 / $1,162.64 / $1,917.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.92 / $888.92 / $1,058.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.99 / $893.89 / $1,058.75
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
$873.33 / $1,143.95 / $1,783.01