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Virginia rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.00 / $2,561.00 / $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
$420.00 / $420.00 / $618.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.04 / $672.75 / $795.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.64 / $673.99 / $989.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.79 / $676.38 / $2,311.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00