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North Carolina 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
$845.54 / $1,410.00 / $12,615.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,736.14 / $5,736.14 / $8,196.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.10 / $852.10 / $14,818.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.54 / $1,074.00 / $1,762.47
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$148.50 / $150.36 / $267.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,269.12 / $42,744.76 / $48,972.40
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$199.70 / $2,790.74 / $4,641.89