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Montana rates for HCPCS 25810

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,862.09