go back

New York rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.74 / $5,164.00 / $11,880.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.20 / $846.23 / $1,562.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,576.00 / $24,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.83 / $862.53 / $1,956.77
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.22 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.22 / $1,144.22 / $1,144.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.68 / $1,214.03 / $3,020.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $913.50 / $2,170.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.94 / $1,261.47 / $1,861.43
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.80 / $766.80 / $766.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.10 / $975.14 / $1,720.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.85 / $1,103.85 / $1,103.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $924.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.67 / $1,214.03 / $2,792.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $18,532.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.34 / $1,032.64 / $2,581.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.14 / $975.14 / $3,734.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.18 / $1,014.15 / $2,061.30