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Virginia rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.66 / $154.52 / $230.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.63 / $150.91 / $249.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $143.37 / $2,635.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.53 / $182.41 / $318.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.62 / $187.67 / $219.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $219.00 / $301.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $191.94 / $737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.54 / $183.74 / $294.62