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Pennsylvania rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.04 / $867.81 / $1,363.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.32 / $912.22 / $1,546.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.68 / $965.68 / $965.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.62 / $1,044.96 / $1,718.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.42 / $1,369.44 / $1,745.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.25 / $1,011.25 / $1,011.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,342.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.26 / $950.29 / $4,208.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.59 / $1,077.59 / $1,737.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.68 / $965.68 / $965.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.62 / $1,059.35 / $1,751.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.96 / $831.96 / $1,078.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.07 / $836.37 / $1,078.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.15 / $1,026.58 / $1,688.89