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Pennsylvania rates for HCPCS 25810

Arthrodesis Wrist W/Iliac/Other Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $3,839.00 / $8,451.00
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
$990.60 / $990.60 / $990.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$98.20 / $98.20 / $98.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,306.02 / $26,306.02 / $31,465.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.60 / $990.60 / $990.60
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$98.20 / $98.20 / $98.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.92 / $850.92 / $988.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00