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Pennsylvania rates for HCPCS 26700

Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$238.20 / $246.62 / $268.52
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$383.22 / $383.22 / $383.22
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$246.62 / $268.52 / $308.30
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$383.22 / $383.22 / $383.22