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Pennsylvania rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $1,202.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,318.26
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,148.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,584.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,258.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $512.86 / $575.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,621.81 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $1,071.52