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Virginia rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.57 / $4,691.00 / $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
$606.71 / $606.71 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.64 / $658.38 / $778.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.49 / $702.19 / $1,133.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.15 / $719.75 / $2,289.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00