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Texas 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
$1,071.52 / $3,890.45 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,584.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $933.25 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $2,041.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $8,912.51 / $8,912.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $131.83 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,000.00