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Indiana rates for HCPCS 25825

Arthrodesis, wrist; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.67 / $4,846.00 / $16,168.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.00 / $12,191.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.49 / $1,013.61 / $1,520.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,987.93 / $5,987.93 / $7,098.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00