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Mississippi 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
$891.25 / $1,995.26 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,630.78 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,073.80 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $2,137.96