go back

Missouri rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.67 / $822.17 / $1,285.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.72 / $953.00 / $1,502.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.03 / $1,068.34 / $1,757.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $1,233.26 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.75 / $1,125.68 / $6,020.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,241.00 / $19,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,050.21 / $1,709.64