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Nebraska rates for HCPCS 25246

Injection Wrist Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.87 / $3,908.01 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $175.24 / $392.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $160.22 / $368.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $271.74 / $496.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.61 / $314.50 / $749.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $386.84 / $2,530.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.52 / $363.14 / $496.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.18 / $318.05 / $496.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.98 / $386.84 / $468.05