go back

Utah rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $31,622.78 / $93,325.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $1,905.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $1,737.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,128.61 / $24,547.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,288.25