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Missouri rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,513.56