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Ohio rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.11 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.15 / $793.57 / $1,566.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.00 / $9,066.00 / $60,294.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.62 / $859.38 / $1,369.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.60 / $927.40 / $1,231.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.11 / $1,081.96 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.47 / $1,081.96 / $1,548.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.47 / $1,086.83 / $1,556.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $570.26 / $974.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.00 / $10,529.00 / $15,469.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.48 / $974.87 / $1,605.28