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Virginia rates for HCPCS 25023

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.81 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,474.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,606.53 / $1,898.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.25 / $1,472.00 / $2,275.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.08 / $1,496.01 / $5,103.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00