go back

Michigan rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.13 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.04 / $1,088.13 / $8,896.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.84 / $8,056.13 / $10,914.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.77 / $969.56 / $2,074.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.29 / $1,006.01 / $1,803.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.55 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.99 / $971.42 / $1,406.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $578.93 / $974.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.46 / $1,026.00 / $1,387.62