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Pennsylvania rates for HCPCS 25608

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 2 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.14 / $6,185.00 / $20,168.59
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
$947.45 / $947.45 / $947.45
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$94.06 / $94.06 / $94.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,719.28 / $17,149.41 / $35,889.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.67 / $5,977.00 / $14,381.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.45 / $947.45 / $947.45
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$94.06 / $94.06 / $94.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.53 / $812.66 / $812.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00