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Nebraska rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $831.76 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $870.96 / $1,148.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $954.99