go back

Wisconsin rates for HCPCS 25825

Arthrodesis, wrist; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $12,589.25 / $12,589.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $4,073.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,584.89 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,659.59 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $17,378.01 / $25,118.86
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79