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Nebraska rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $8,355.33 / $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
$570.40 / $998.28 / $5,405.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,433.91 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,038.98 / $5,341.00 / $8,632.00