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Pennsylvania rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.85 / $1,813.40 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.05 / $369.43 / $629.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.61 / $417.80 / $747.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.86 / $452.86 / $452.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.49 / $392.69 / $697.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.99 / $639.91 / $830.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,759.71 / $5,759.71 / $5,759.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,070.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $407.72 / $1,023.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.10 / $427.10 / $896.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.86 / $452.86 / $452.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.31 / $408.62 / $727.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.36 / $342.32 / $418.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.85 / $390.35 / $425.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,715.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.54 / $499.69 / $822.14