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Minnesota 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
$1,023.29 / $1,023.29 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $14,125.38 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,398.83 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $4,570.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $7,079.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,862.09 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $8,709.64 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $3,548.13