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Pennsylvania rates for HCPCS 25800

Arthrodesis Wrist Complete W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,830.00 / $8,404.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.85 / $835.85 / $835.85
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.88 / $82.88 / $82.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,165.91 / $18,165.91 / $31,051.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.85 / $835.85 / $835.85
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.88 / $82.88 / $82.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $719.87 / $882.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,563.00 / $9,631.00