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Virginia rates for HCPCS 25275

Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)

Facilitymedian $3,467 · 10th–90th $708$10,0000%5%10%10th90th$3,467Professionalmedian $871 · 10th–90th $603$1,2020%20%10th90th$871$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $5,495.41 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $758.58 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $851.14 / $1,288.25
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $851.14 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,128.31 / $16,982.44