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Virginia rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.29 / $5,388.00 / $11,024.00
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
$617.49 / $617.49 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.91 / $669.63 / $791.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.19 / $697.28 / $987.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.21 / $675.29 / $2,339.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00