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Arizona rates for HCPCS 25830

Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,884.03 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,778.28