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Virginia rates for HCPCS 25290

Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.11 / $5,087.00 / $8,294.00
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
$504.05 / $504.05 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.96 / $547.75 / $647.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.63 / $601.17 / $1,128.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.29 / $629.76 / $2,047.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00