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Pennsylvania rates for HCPCS 25500

Closed Tx Radial Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.14 / $600.90 / $5,627.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$199.58 / $204.20 / $226.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.84 / $267.82 / $517.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.75 / $409.12 / $496.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.16 / $449.16 / $449.16
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$314.41 / $314.41 / $314.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.74 / $319.08 / $529.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.28 / $476.88 / $611.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.22 / $1,075.22 / $1,384.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.35 / $329.29 / $386.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.14 / $1,340.00 / $6,522.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$204.20 / $204.20 / $226.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.41 / $307.60 / $598.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $347.80 / $602.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.16 / $449.16 / $449.16
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$314.41 / $314.41 / $314.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.36 / $323.68 / $531.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.26 / $256.49 / $283.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.32 / $274.83 / $304.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.02 / $317.58 / $544.84