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Pennsylvania rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $1,174.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,047.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,071.52
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $912.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,090.30 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,584.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $1,096.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $524.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $676.08 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $977.24