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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
$891.25 / $2,570.40 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $28,183.83 / $39,810.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $794.33 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $17,378.01