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Tennessee rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,691.53 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $9,332.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $83,176.38 / $83,176.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,584.89