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Nebraska rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.00 / $491.00 / $2,796.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.19 / $811.71 / $1,082.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.00 / $1,185.70 / $1,566.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $859.25 / $3,044.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.25 / $1,063.83 / $1,464.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,233.23 / $1,665.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.00 / $1,159.97 / $1,566.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.25 / $1,098.48 / $1,385.47