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Indiana rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $28,183.83 / $39,810.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $2,041.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,949.84