go back

South Carolina rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $27,542.29 / $51,286.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $891.25 / $23,988.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,380.38