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Virginia rates for HCPCS 25575

Open Tx Radial&Ulnar Shaft Fx W/Fixj Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.54 / $4,347.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,031.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.45 / $102.45 / $102.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.02 / $1,116.19 / $1,318.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.71 / $1,184.95 / $1,703.68
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$153.02 / $198.93 / $326.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.97 / $1,133.63 / $3,925.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00