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Virginia rates for HCPCS 25101

Arthrt Wrst W/Jt Expl W/Wo Bx W/Wo Rmvl Loose/Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.71 / $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
$469.82 / $469.82 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $511.70 / $604.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.61 / $539.02 / $830.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.33 / $523.80 / $1,897.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00