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West Virginia rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,288.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $48,977.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,288.25