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Virginia rates for HCPCS 28725

Arthrodesis; subtalar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.23 / $5,189.52 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $883.12
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.84 / $87.84 / $87.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.43 / $957.99 / $1,123.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.55 / $1,038.33 / $1,515.56
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$198.23 / $276.27 / $406.08
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$138.76 / $193.40 / $284.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.85 / $1,006.56 / $3,442.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00