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Nebraska rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

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
$657.95 / $657.95 / $3,770.11
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
$636.74 / $1,085.33 / $1,447.13
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
$1,091.00 / $1,585.64 / $2,125.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.95 / $1,151.41 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.88 / $1,463.28 / $1,974.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.94 / $1,648.95 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.00 / $1,567.51 / $2,125.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $6,178.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.88 / $1,485.49 / $1,873.59