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Virginia rates for HCPCS 25246

Injection Wrist Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.28 / $1,688.44 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.22 / $148.72 / $225.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $87.47 / $139.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $74.45 / $676.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.68 / $123.68 / $123.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.40 / $170.52 / $337.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.00 / $217.20 / $267.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.94 / $185.52 / $383.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $230.33 / $340.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.47 / $103.86 / $218.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.83 / $254.71 / $485.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.81 / $241.07 / $414.06