go back

Nebraska rates for HCPCS 25405

Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,865.64 / $6,865.64 / $6,865.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.31 / $1,691.00 / $9,496.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$265.95 / $2,460.76 / $2,460.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,543.85 / $8,731.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00