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Virginia rates for HCPCS 25116

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Xtnsrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.07 / $5,282.00 / $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
$695.98 / $695.98 / $776.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.48 / $756.02 / $893.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.11 / $827.64 / $1,234.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.34 / $821.40 / $2,613.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00