go back

Utah rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.17 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.58 / $1,196.17 / $4,432.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.29 / $1,204.89 / $1,852.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $490.12 / $795.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.51 / $1,394.87 / $1,998.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.58 / $880.20 / $1,428.04