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Virginia rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.94 / $4,771.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $777.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.99 / $850.22 / $1,004.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.72 / $845.35 / $1,309.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.12 / $883.97 / $1,783.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $2,863.00 / $5,340.00