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Nebraska rates for HCPCS 25425

Repair of defect with autograft; radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.52 / $876.52 / $5,038.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.02 / $1,443.80 / $1,925.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,356.43 / $8,356.43 / $8,356.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.13 / $2,140.44 / $2,843.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.52 / $1,621.56 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.92 / $1,960.27 / $2,638.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.46 / $2,361.31 / $9,074.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.21 / $2,140.44 / $2,843.89
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
$1,164.92 / $1,960.27 / $2,509.05