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Pennsylvania rates for HCPCS 25535

Closed Tx Ulnar Shaft Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.73 / $1,978.00 / $7,175.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.40 / $1,359.00 / $8,459.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.35 / $787.35 / $787.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.94 / $1,950.00 / $5,673.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,070.00 / $7,799.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.35 / $787.35 / $787.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.29 / $453.55 / $490.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00