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Idaho rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $8,439.00 / $12,782.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.55 / $1,473.16 / $2,108.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.98 / $1,565.74 / $1,809.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.75 / $1,791.90 / $2,457.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.27 / $1,835.21 / $2,414.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,440.65 / $1,812.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,713.54 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.26 / $2,081.48 / $2,414.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.71 / $1,553.25 / $2,210.39