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Pennsylvania rates for HCPCS 25565

Closed treatment of radial and ulnar shaft fractures; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,187.76 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$562.34 / $562.34 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,235.94 / $7,413.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,819.70 / $7,244.36
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,096.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $467.74 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,621.81 / $5,128.61