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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
$630.96 / $2,754.23 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $562.34 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,244.36 / $14,125.38