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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
$933.25 / $4,168.69 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $724.44 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,079.46 / $14,125.38