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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
$1,548.82 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,370.32 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $2,238.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,659.59 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $1,819.70