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Missouri rates for HCPCS 25825

Arthrodesis, wrist; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,716.00 / $9,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.51 / $1,209.58 / $19,067.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.74 / $205.74 / $2,402.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00