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Texas rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,890.45 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $9,549.93 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,621.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $912.01 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $8,912.51 / $8,912.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $131.83 / $891.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,698.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $977.24