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Nebraska rates for HCPCS 25118

Synovectomy, extensor tendon sheath, wrist, single compartment;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.77 / $4,778.89 / $13,841.56
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
$1,257.44 / $1,257.44 / $1,257.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.53 / $639.95 / $4,217.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $958.62 / $1,597.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00