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California rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $8,870.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.47 / $790.21 / $4,244.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $10,077.00 / $19,951.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.39 / $1,133.34 / $2,280.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $13,813.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.91 / $934.52 / $2,102.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $29,017.21 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.36 / $1,006.63 / $2,209.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.70 / $956.16 / $1,290.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.33 / $1,069.17 / $1,917.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,051.84 / $26,542.00 / $83,807.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,919.36 / $6,020.56 / $7,008.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.25 / $1,058.81 / $1,472.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.13 / $1,046.95 / $2,162.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.40 / $2,633.40 / $2,633.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.41 / $771.86 / $1,061.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,830.00 / $18,315.00 / $42,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.55 / $837.50 / $1,755.94