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Michigan 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
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,187.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,513.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $1,479.11