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Virginia rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,011.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,659.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,380.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,332.54 / $19,054.61