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Virginia rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.34 / $5,087.00 / $8,920.00
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 / $713.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.22 / $775.25 / $916.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.69 / $814.88 / $1,199.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.50 / $782.11 / $2,676.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $8,621.00 / $17,187.00