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Virginia rates for HCPCS 25105

Arthrotomy Wrist Joint With Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.21 / $5,360.00 / $9,347.59
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
$562.44 / $562.44 / $776.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.24 / $611.38 / $722.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.28 / $646.37 / $986.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.20 / $638.66 / $2,230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00