go back

Virginia rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.55 / $5,040.00 / $10,769.00
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
$850.72 / $850.72 / $900.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.26 / $84.26 / $84.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.49 / $922.45 / $1,090.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.74 / $953.26 / $1,350.50
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,313.54 / $1,633.13 / $2,852.42
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$175.14 / $217.75 / $380.32
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.60 / $152.43 / $266.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.52 / $922.86 / $3,442.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00