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Virginia rates for HCPCS 25301

Tenodesis at wrist; extensors of fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.80 / $4,796.00 / $8,732.43
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
$640.00 / $640.00 / $737.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.92 / $798.63 / $943.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.95 / $851.64 / $1,244.31
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.48 / $135.52 / $233.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.11 / $824.32 / $2,800.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00