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Michigan rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $5,754.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,737.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,897.79 / $7,762.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $12,302.69 / $30,199.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,258.93