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Virginia rates for HCPCS 25118

Synovectomy, extensor tendon sheath, wrist, single compartment;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.81 / $3,645.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.77 / $443.77 / $572.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.20 / $483.62 / $571.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.95 / $508.95 / $782.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.42 / $493.91 / $1,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00