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Pennsylvania rates for HCPCS 25520

Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.46 / $1,901.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.69 / $566.05 / $814.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.88 / $612.14 / $1,029.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.84 / $938.84 / $938.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.71 / $669.24 / $1,102.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.21 / $951.94 / $1,216.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,119.72 / $4,119.72 / $4,119.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.04 / $597.04 / $597.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.46 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.90 / $607.92 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.50 / $733.60 / $1,207.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.84 / $938.84 / $938.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.79 / $682.53 / $1,126.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.68 / $538.72 / $571.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.07 / $556.49 / $610.16
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
$522.04 / $690.05 / $1,222.54