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Indiana rates for HCPCS 25810

Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.45 / $2,318.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,239.00 / $12,289.00 / $37,919.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.54 / $1,109.77 / $1,664.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,571.11 / $11,571.11 / $13,716.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00