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Texas rates for HCPCS 25825

Arthrodesis, wrist; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $12,826.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,323.94 / $9,331.84 / $18,364.59
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.44 / $7,148.86 / $10,839.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.84 / $3,731.16 / $3,731.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.29 / $904.29 / $904.29
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,980.00 / $25,342.70 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$183.12 / $2,402.13 / $2,402.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.69 / $971.36 / $1,518.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.69 / $974.63 / $1,584.00
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $258.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00