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Nebraska rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.84 / $479.84 / $2,730.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.39 / $793.29 / $1,057.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.85 / $1,174.66 / $1,528.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.84 / $866.49 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.66 / $1,049.49 / $1,470.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,376.49 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.44 / $1,168.63 / $1,528.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,038.98 / $5,341.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.66 / $1,071.85 / $1,351.90