go back

Virginia 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
$1,506.92 / $5,282.00 / $10,637.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $990.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$98.20 / $98.20 / $98.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.97 / $1,072.59 / $1,264.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.00 / $1,141.60 / $1,659.04
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$148.50 / $173.60 / $315.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.05 / $1,102.24 / $3,774.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00