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Wisconsin rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.90 / $1,671.08 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.06 / $823.44 / $3,695.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $17,403.00 / $23,778.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.11 / $1,822.84 / $4,850.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,028.15 / $32,028.15 / $32,028.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.82 / $2,461.98 / $3,776.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.58 / $3,227.36 / $3,667.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.90 / $1,132.36 / $1,674.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.90 / $1,616.78 / $19,562.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.86 / $1,554.15 / $6,020.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $483.17 / $1,572.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.90 / $1,114.05 / $1,674.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.90 / $1,968.91 / $2,939.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,360.25 / $30,360.25 / $83,807.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.94 / $3,866.05 / $6,020.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.42 / $2,610.42 / $2,610.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.50 / $4,002.39 / $5,136.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,775.00 / $14,249.00 / $19,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.21 / $1,629.21 / $3,658.56