go back

Virginia rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.82 / $3,583.50 / $8,003.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $488.27 / $840.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $389.46 / $643.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $370.55 / $5,113.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.83 / $557.83 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.80 / $508.64 / $914.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.83 / $604.48 / $714.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.42 / $558.90 / $836.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $680.02 / $921.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.07 / $420.64 / $1,558.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.48 / $609.58 / $2,158.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.74 / $556.63 / $939.95