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Missouri rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.25 / $1,046.83 / $1,635.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.51 / $1,233.00 / $1,952.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.83 / $1,393.05 / $2,257.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.43 / $1,570.26 / $19,913.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.56 / $1,449.89 / $7,652.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.20 / $1,338.16 / $2,229.32