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Michigan rates for HCPCS 25820

Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $1,000.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,786.30 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $14,454.40