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Idaho rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $8,709.64 / $48,977.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,412.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $44,668.36 / $72,443.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $1,949.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $66,069.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,659.59