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Virginia rates for HCPCS 25260

Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.94 / $5,360.00 / $9,347.59
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
$730.20 / $730.20 / $776.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.08 / $792.63 / $936.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.48 / $841.62 / $1,365.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.08 / $863.56 / $2,746.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,061.00 / $8,291.00 / $17,187.00