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Virginia rates for HCPCS 26525

Capsulectomy or capsulotomy; interphalangeal joint, each joint

Facilitymedian $2,754 · 10th–90th $724–$7,9430%5%10th90th$2,754Professionalmedian $955 · 10th–90th $661–$1,3490%20%10th90th$955$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,715.35 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,174.90 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $891.25 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $5,370.32