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Pennsylvania rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.95 / $1,486.00 / $6,012.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$365.06 / $368.21 / $1,797.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.14 / $801.14 / $801.14
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $560.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.26 / $3,146.54 / $7,713.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.27 / $1,659.00 / $7,175.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$368.21 / $411.74 / $1,797.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.14 / $801.14 / $801.14
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $560.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.37 / $466.65 / $523.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00