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Pennsylvania rates for HCPCS 25575

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,570.88 / $9,120.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.88 / $154.88 / $154.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $17,378.01 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,801.89 / $8,912.51
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,862.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $22,387.21