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Indiana rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.06 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.15 / $786.90 / $1,022.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.00 / $12,289.00 / $40,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.65 / $997.60 / $1,376.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.16 / $1,035.89 / $1,553.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.92 / $924.90 / $1,331.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,801.91 / $19,801.91 / $23,473.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.83 / $1,019.55 / $1,644.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,307.00 / $19,962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.59 / $872.99 / $1,554.31