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Virginia rates for HCPCS 28210

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.54 / $4,179.00 / $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 / $718.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.50 / $714.88 / $844.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.45 / $667.61 / $1,047.05
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.76 / $543.29 / $2,016.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,024.00 / $26,537.00