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Oklahoma 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
$1,392.00 / $4,856.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,919.05 / $13,919.05 / $13,919.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.40 / $1,277.64 / $14,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.36 / $4,641.89 / $4,641.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00