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Tennessee rates for HCPCS 25800

Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,419.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.60 / $26,542.00 / $27,215.50
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$189.25 / $2,579.65 / $2,579.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,238.00 / $7,695.00 / $12,782.00