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Missouri 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
$1,760.00 / $5,389.00 / $9,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.81 / $1,320.30 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.36 / $224.36 / $4,641.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,463.00 / $12,989.00