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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
$1,150.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.70 / $823.55 / $1,295.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.00 / $9,265.00 / $16,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.18 / $1,054.17 / $1,673.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.33 / $1,115.34 / $1,679.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,051.84 / $26,542.00 / $83,807.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,919.36 / $6,020.56 / $7,008.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.14 / $943.93 / $1,784.16