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Pennsylvania rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $6,503.56 / $18,937.53
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,029.00 / $7,029.00 / $7,029.00
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
$850.72 / $850.72 / $850.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.26 / $84.26 / $84.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.88 / $14,833.03 / $30,788.61
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,830.38 / $12,830.38 / $12,830.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $6,503.56 / $19,795.37
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,029.00 / $7,029.00 / $7,029.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.72 / $850.72 / $850.72
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.26 / $84.26 / $84.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.93 / $727.28 / $727.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00