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Pennsylvania rates for HCPCS 25575

Open Tx Radial&Ulnar Shaft Fx W/Fixj Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.82 / $3,839.00 / $17,125.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.88 / $1,031.88 / $1,031.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.45 / $102.45 / $102.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,811.25 / $17,002.41 / $47,309.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,194.00 / $10,527.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.88 / $1,031.88 / $1,031.88
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.45 / $102.45 / $102.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.26 / $886.93 / $886.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00