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Oklahoma rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $26,915.35 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,019.95 / $20,417.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $12,302.69 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,122.02