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Idaho 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
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $10,000.00 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $2,570.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,995.26 / $2,454.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,995.26