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Pennsylvania rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,025.60 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,737.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $870.96 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,513.56
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,584.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $61,659.50 / $61,659.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $2,398.83
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,659.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $1,659.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $831.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $8,128.31 / $53,703.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,513.56