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Pennsylvania rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.82 / $810.66 / $1,195.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.84 / $861.59 / $1,470.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.99 / $979.87 / $1,635.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.69 / $1,305.89 / $1,669.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,019.93 / $62,019.93 / $62,019.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.34 / $1,098.34 / $1,098.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.82 / $908.09 / $4,020.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $968.90 / $1,660.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.99 / $1,010.44 / $1,637.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.79 / $794.79 / $832.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.17 / $797.89 / $842.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,515.00 / $12,076.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,017.69 / $1,607.43