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Virginia rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.52 / $3,645.00 / $8,294.00
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
$572.00 / $572.00 / $722.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.71 / $782.99 / $925.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.29 / $816.17 / $1,221.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.36 / $799.27 / $2,692.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00