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Texas rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $12,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.45 / $825.67 / $1,394.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,002.35 / $24,238.04 / $48,316.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.03 / $950.62 / $1,295.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $721.63 / $732.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.03 / $1,073.68 / $1,641.91
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.82 / $1,007.53 / $1,597.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.16 / $1,206.20 / $1,495.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.65 / $960.85 / $1,363.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.36 / $1,012.64 / $1,635.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.94 / $1,107.76 / $1,681.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,604.00 / $9,453.00 / $20,955.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.13 / $846.05 / $1,329.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.30 / $778.95 / $1,083.25