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Virginia rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.29 / $5,048.00 / $10,637.11
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
$900.00 / $900.00 / $904.29
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.07 / $982.97 / $1,161.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.96 / $1,028.89 / $1,541.70
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.19 / $184.40 / $276.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.11 / $984.88 / $3,442.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00