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Nebraska rates for HCPCS 25316

Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,623.41 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,041.74 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $2,818.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,089.30 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $2,238.72