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Pennsylvania rates for HCPCS 25670

Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,142.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.86 / $694.86 / $694.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.86 / $694.86 / $694.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $599.00 / $653.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,715.00 / $4,815.00