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West 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
$846.51 / $1,327.98 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.41 / $1,028.42 / $1,120.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.60 / $990.60 / $990.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$98.20 / $98.20 / $98.20