go back

Pennsylvania rates for HCPCS 25505

Closed treatment of radial shaft fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$354.52 / $362.63 / $400.28
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$556.47 / $556.47 / $556.47
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$362.63 / $362.63 / $400.28
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$556.47 / $556.47 / $556.47