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Utah rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.79 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.20 / $1,103.79 / $4,244.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.13 / $1,126.47 / $1,720.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $489.21 / $776.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,748.34 / $35,335.00 / $51,493.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.59 / $1,323.03 / $1,863.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.40 / $855.82 / $1,364.30