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Rhode Island rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.63 / $1,027.58 / $1,207.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.87 / $981.13 / $1,508.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.02 / $1,267.88 / $1,668.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,505.00 / $7,819.00 / $19,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.04 / $1,040.53 / $1,710.76