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Pennsylvania 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
$948.58 / $3,589.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.37 / $741.37 / $741.37
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,322.49 / $11,287.25 / $24,666.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,597.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.37 / $741.37 / $741.37
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.55 / $638.55 / $709.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00