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Tennessee 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
$1,150.00 / $2,940.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $7,138.00 / $13,734.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,269.12 / $26,542.00 / $48,972.40
Lucent Health
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
$3,964.00 / $8,273.00 / $12,407.00