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Vermont rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,819.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $3,311.31