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Nebraska rates for HCPCS 25290

Tnot Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,172.55 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.94 / $747.76 / $5,405.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.67 / $1,187.78 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00