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Nebraska rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $18,620.87 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,290.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,659.59 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $1,778.28