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Pennsylvania rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,050.00 / $8,949.58
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
$904.29 / $904.29 / $904.29
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,317.49 / $20,780.34 / $61,242.12
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
$904.29 / $904.29 / $904.29
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.87 / $778.87 / $878.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00