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Pennsylvania rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.82 / $2,997.56 / $7,263.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.32 / $777.32 / $777.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.19 / $3,332.34 / $7,116.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.13 / $3,627.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.32 / $777.32 / $777.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.66 / $672.66 / $862.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00