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Virginia rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.26 / $3,816.12 / $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
$640.00 / $640.00 / $739.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.69 / $734.32 / $864.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.20 / $712.74 / $1,059.92
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.49 / $562.05 / $1,885.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00