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Oklahoma 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
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,862.09 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,348.96