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Nebraska rates for HCPCS 25023

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.18 / $2,102.07 / $5,405.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.54 / $2,587.71 / $3,544.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00