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Nebraska rates for HCPCS 25375

Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.70 / $867.70 / $4,989.41
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
$838.55 / $1,429.35 / $1,905.81
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
$1,747.48 / $2,103.30 / $2,819.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.70 / $1,561.62 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.28 / $1,895.35 / $2,612.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,180.56 / $3,000.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.92 / $2,000.00 / $2,819.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.28 / $1,895.35 / $2,469.59