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Virginia rates for HCPCS 20924

Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $5,495.41 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,000.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $645.65 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61